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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="12" name="Stop form" version="1.0" uuid="b4b3c2f4-355a-473f-b739-55d725307751" xmlns:openmrs="formentry.infopath_server_url cannot be empty/moduleServlet/formentry/forms/schema/12-1" 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">'now()'</encounter.encounter_datetime>
  23. <encounter.location_id openmrs_table="encounter" openmrs_attribute="location_id" xsi:nil="true">1</encounter.location_id>
  24. <encounter.provider_id openmrs_table="encounter" openmrs_attribute="provider_id" xsi:nil="true" provider_id_type="PROVIDER.ID">3</encounter.provider_id>
  25. </encounter>
  26. <obs openmrs_concept="3^ANEMIA^99DCT" openmrs_datatype="ZZ">
  27. <stop_date openmrs_concept="161133^STOP_DATE^99DCT" openmrs_datatype="DT">
  28. <date xsi:nil="true"/>
  29. <time xsi:nil="true"/>
  30. <value xsi:nil="true"/>
  31. </stop_date>
  32. <stop_reason openmrs_concept="161165^STOP_REASON^99DCT" openmrs_datatype="CWE" multiple="0">
  33. <date xsi:nil="true"/>
  34. <time xsi:nil="true"/>
  35. <value xsi:nil="true"/>
  36. </stop_reason>
  37. <transfer_where openmrs_concept="161142^TRANSFER_WHERE^99DCT" openmrs_datatype="ST">
  38. <date xsi:nil="true"/>
  39. <time xsi:nil="true"/>
  40. <value xsi:nil="true"/>
  41. </transfer_where>
  42. <death_date openmrs_concept="161143^DEATH_DATE^99DCT" openmrs_datatype="DT">
  43. <date xsi:nil="true"/>
  44. <time xsi:nil="true"/>
  45. <value xsi:nil="true"/>
  46. </death_date>
  47. <death_cause openmrs_concept="161149^DEATH_CAUSE^99DCT" openmrs_datatype="ST">
  48. <date xsi:nil="true"/>
  49. <time xsi:nil="true"/>
  50. <value xsi:nil="true"/>
  51. </death_cause>
  52. <death_source openmrs_concept="161154^DEATH_SOURCE^99DCT" openmrs_datatype="CWE" multiple="0">
  53. <date xsi:nil="true"/>
  54. <time xsi:nil="true"/>
  55. <value xsi:nil="true"/>
  56. </death_source>
  57. <death_place openmrs_concept="161158^DEATH_PLACE^99DCT" openmrs_datatype="CWE" multiple="0">
  58. <date xsi:nil="true"/>
  59. <time xsi:nil="true"/>
  60. <value xsi:nil="true"/>
  61. </death_place>
  62. <per_comp openmrs_concept="161161^PER_COMP^99DCT" openmrs_datatype="ST">
  63. <date xsi:nil="true"/>
  64. <time xsi:nil="true"/>
  65. <value xsi:nil="true"/>
  66. </per_comp>
  67. </obs>
  68. <other/></form>
  69. </xf:instance>
  70. <xf:bind id="patient.birthdate" nodeset="/form/patient/patient.birthdate" type="xsd:date" locked="true()" jr:preload="patient" jr:preloadParams="birthDate"/>
  71. <xf:bind id="patient.family_name" nodeset="/form/patient/patient.family_name" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="familyName"/>
  72. <xf:bind id="patient.given_name" nodeset="/form/patient/patient.given_name" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="givenName"/>
  73. <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" required="true()"/>
  74. <xf:bind id="patient.middle_name" nodeset="/form/patient/patient.middle_name" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="middleName"/>
  75. <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" readonly="true()" locked="true()"/>
  76. <xf:bind id="patient.sex" nodeset="/form/patient/patient.sex" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="sex"/>
  77. <xf:bind id="encounter.encounter_datetime" nodeset="/form/encounter/encounter.encounter_datetime" type="xsd:dateTime" constraint=". &lt;= today()" message="Encounter date cannot be after today" required="true()"/>
  78. <xf:bind id="encounter.location_id" nodeset="/form/encounter/encounter.location_id" type="xsd:string" readonly="true()" visible="false()"/>
  79. <xf:bind id="encounter.provider_id" nodeset="/form/encounter/encounter.provider_id" type="xsd:string" readonly="true()" visible="false()"/>
  80. <xf:bind id="stop_date" nodeset="/form/obs/stop_date/value" type="xsd:date" required="true()" constraint=". &lt;= today()" message="Date here can not be in future, please check"/>
  81. <xf:bind id="stop_reason" nodeset="/form/obs/stop_reason/value" type="xsd:string" required="true()"/>
  82. <xf:bind id="transfer_where" nodeset="/form/obs/transfer_where/value" type="xsd:string" relevant="/form/obs/stop_reason/value = '160036^PATIENT TRANSFERRED OUT^99DCT'" action="enable" constraint="length(.) &lt;= 100" message="The length of the field is more than the required, please check" required="true()"/>
  83. <xf:bind id="death_date" nodeset="/form/obs/death_date/value" type="xsd:date" relevant="/form/obs/stop_reason/value = '160034^Died^99DCT'" action="enable" constraint=". &lt;= today()" message="Date here can not be in future, please check" required="true()"/>
  84. <xf:bind id="death_source" nodeset="/form/obs/death_source/value" type="xsd:string" relevant="/form/obs/stop_reason/value = '160034^Died^99DCT'" action="enable" required="true()"/><xf:bind id="death_place" nodeset="/form/obs/death_place/value" type="xsd:string" relevant="/form/obs/stop_reason/value = '160034^Died^99DCT'" action="enable" required="true()"/><xf:bind id="per_comp" nodeset="/form/obs/per_comp/value" type="xsd:string" required="true()" constraint="length(.) &lt;= 30" message="The length of the field is more than the required, please check"/><xf:bind id="death_cause" nodeset="/form/obs/death_cause/value" type="xsd:string" relevant="/form/obs/stop_reason/value = '160034^Died^99DCT'" action="enable" constraint="length(.) &lt;= 5" message="The length of the field is more than the required, please check" required="true()"/>
  85.  
  86.  
  87.  
  88. </xf:model>
  89. <xf:group id="1">
  90. <xf:label>Page1</xf:label>
  91. <xf:input bind="patient.birthdate">
  92. <xf:label>Date of birth</xf:label>
  93. </xf:input>
  94. <xf:input bind="patient.family_name">
  95. <xf:label>Last name</xf:label>
  96. </xf:input>
  97. <xf:input bind="patient.given_name">
  98. <xf:label>First name</xf:label>
  99. </xf:input>
  100. <xf:input bind="patient.medical_record_number">
  101. <xf:label>NACP number</xf:label>
  102. </xf:input>
  103. <xf:input bind="patient.middle_name">
  104. <xf:label>Middle name</xf:label>
  105. </xf:input>
  106. <xf:input bind="patient.patient_id">
  107. <xf:label>Patient Id</xf:label>
  108. </xf:input>
  109. <xf:input bind="patient.sex">
  110. <xf:label>Sex</xf:label>
  111. </xf:input>
  112. <xf:input bind="encounter.encounter_datetime">
  113. <xf:label>Encounter date</xf:label>
  114. </xf:input>
  115. <xf:select1 bind="encounter.location_id">
  116. <xf:label>LOCATION ID</xf:label>
  117. <xf:item id="1"><xf:label>Unknown Location [1]</xf:label><xf:value>1</xf:value></xf:item></xf:select1>
  118. <xf:select1 bind="encounter.provider_id">
  119. <xf:label>PROVIDER ID</xf:label>
  120. <xf:item id="1">
  121. <xf:label>Claudio Zaugg [12]</xf:label>
  122. <xf:value>1</xf:value>
  123. </xf:item>
  124. <xf:item id="2">
  125. <xf:label>Lucas Gervas Shayo [13]</xf:label>
  126. <xf:value>2</xf:value>
  127. </xf:item>
  128. <xf:item id="4">
  129. <xf:label>Agata Correia Agata [3]</xf:label>
  130. <xf:value>4</xf:value>
  131. </xf:item>
  132. <xf:item id="3">
  133. <xf:label>unknown [14]</xf:label>
  134. <xf:value>3</xf:value>
  135. </xf:item>
  136. <xf:item id="31"><xf:label>Lukag shayog gervass [31]</xf:label><xf:value>31</xf:value></xf:item><xf:item id="34"><xf:label>juma2 juma2middle juma2family [34]</xf:label><xf:value>34</xf:value></xf:item><xf:item id="8"><xf:label>Agata Correia Agata [8]</xf:label><xf:value>8</xf:value></xf:item><xf:item id="55"><xf:label>Migration User March2013 [55]</xf:label><xf:value>55</xf:value></xf:item></xf:select1>
  137. <xf:input bind="stop_date">
  138. <xf:label>Date patient stopped participation</xf:label>
  139. <xf:hint>Date patient stopped participation-A question on KIULARCO HIV_MRS stop form.</xf:hint>
  140. </xf:input>
  141. <xf:select1 bind="stop_reason">
  142. <xf:label>Reason participation of patient was stopped</xf:label>
  143. <xf:hint>Reason participation of patient was stopped-A question on KIULARCO HIV_MRS stop form.</xf:hint>
  144. <xf:item concept_id="161165" id="160034^Died^99DCT">
  145. <xf:label>Died</xf:label>
  146. <xf:value>160034^Died^99DCT</xf:value>
  147. </xf:item>
  148. <xf:item concept_id="161165" id="161139^Withdrew consent^99DCT">
  149. <xf:label>Withdrew consent</xf:label>
  150. <xf:value>161139^Withdrew consent^99DCT</xf:value>
  151. </xf:item>
  152. <xf:item concept_id="161165" id="160036^PATIENT TRANSFERRED OUT^99DCT">
  153. <xf:label>PATIENT TRANSFERRED OUT</xf:label>
  154. <xf:value>160036^PATIENT TRANSFERRED OUT^99DCT</xf:value>
  155. </xf:item>
  156. <xf:item concept_id="161165" id="161141^Lost to follow up^99DCT">
  157. <xf:label>Lost to follow up</xf:label>
  158. <xf:value>161141^Lost to follow up^99DCT</xf:value>
  159. </xf:item>
  160. <xf:item concept_id="161165" id="1067^UNKNOWN^99DCT">
  161. <xf:label>UNKNOWN</xf:label>
  162. <xf:value>1067^UNKNOWN^99DCT</xf:value>
  163. </xf:item>
  164. <xf:item concept_id="161165" id="161828^HIV seronegative child less than 18 months^99DCT">
  165. <xf:label>HIV seronegative child less than 18 months</xf:label>
  166. <xf:value>161828^HIV seronegative child less than 18 months^99DCT</xf:value>
  167. </xf:item>
  168. </xf:select1>
  169. <xf:input bind="transfer_where">
  170. <xf:label>If transferred,indicate where</xf:label>
  171. <xf:hint>If transferred,indicate where-A question on KIULARCO HIV_MRS stop form.</xf:hint>
  172. </xf:input>
  173. <xf:input bind="death_date">
  174. <xf:label>Date of death</xf:label>
  175. <xf:hint>Date of death-A question on KIULARCO HIV_MRS stop form.</xf:hint>
  176. </xf:input>
  177. <xf:select1 bind="death_source">
  178. <xf:label>Source of information about death</xf:label>
  179. <xf:hint>Source of information about death-A question on KIULARCO HIV_MRS stop form.</xf:hint>
  180. <xf:item concept_id="161154" id="1238^MEDICAL RECORD OBSERVATIONS^99DCT">
  181. <xf:label>MEDICAL RECORD OBSERVATIONS</xf:label>
  182. <xf:value>1238^MEDICAL RECORD OBSERVATIONS^99DCT</xf:value>
  183. </xf:item>
  184. <xf:item concept_id="161154" id="161070^Relative^99DCT">
  185. <xf:label>Relative</xf:label>
  186. <xf:value>161070^Relative^99DCT</xf:value>
  187. </xf:item>
  188. <xf:item concept_id="161154" id="161480^Verbal outopsy^99DCT">
  189. <xf:label>Verbal outopsy</xf:label>
  190. <xf:value>161480^Verbal outopsy^99DCT</xf:value>
  191. </xf:item>
  192. </xf:select1><xf:select1 bind="death_place">
  193. <xf:label>Place of death</xf:label>
  194. <xf:hint>Place of death-A question on KIULARCO HIV_MRS stop form.</xf:hint>
  195. <xf:item concept_id="161158" id="1589^HOSPITAL^99DCT">
  196. <xf:label>HOSPITAL</xf:label>
  197. <xf:value>1589^HOSPITAL^99DCT</xf:value>
  198. </xf:item>
  199. <xf:item concept_id="161158" id="1536^HOME^99DCT">
  200. <xf:label>HOME</xf:label>
  201. <xf:value>1536^HOME^99DCT</xf:value>
  202. </xf:item>
  203. </xf:select1><xf:input bind="per_comp">
  204. <xf:label>Name of person filling out the form</xf:label>
  205. <xf:hint>Name of person filling out the form-A question on KIULARCO HIV_MRS stop form.</xf:hint>
  206. </xf:input><xf:input bind="death_cause">
  207. <xf:label>Primary cause of death:ICD 10 Code</xf:label>
  208. <xf:hint>Primary cause of death:ICD 10 Code-A question on KIULARCO HIV_MRS stop form.</xf:hint>
  209. </xf:input>
  210.  
  211.  
  212.  
  213. </xf:group>
  214. </xf:xforms></Xform><Layout><Form id="12"><Page Text="Page1" fontWeight="normal" fontSize="12px" fontFamily="Verdana, 'Lucida Grande', 'Trebuchet MS', Arial, Sans-Serif" Binding="Page1" Width="1100px" Height="850px" backgroundColor=""><Item WidgetType="GroupBox" Binding="LEFT48pxTOP120px" Left="48px" Top="120px" Width="880px" Height="150px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderStyle="solid"><Item WidgetType="Label" Text="PATIENT INFORMATION" HelpText="Header Label" Binding="LEFT48pxTOP120px" 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(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="TextBox" HelpText="First name" Binding="patient/patient.given_name" Left="273px" Top="50px" Width="223px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="Middle name" HelpText="Middle name" Binding="patient/patient.middle_name" Left="518px" Top="30px" Height="1px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="First name" HelpText="First name" Binding="patient/patient.given_name" Left="273px" Top="30px" Height="26px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="Last name" HelpText="Last name" Binding="patient/patient.family_name" Left="10px" Top="30px" Height="px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="Sex" HelpText="Sex" Binding="patient/patient.sex" Left="10px" Top="90px" Height="0px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="Sex" Binding="patient/patient.sex" Left="10px" Top="110px" Width="235px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="Last name" Binding="patient/patient.family_name" Left="10px" Top="50px" Width="232px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="Middle name" Binding="patient/patient.middle_name" Left="272px" Top="110px" Width="224px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="Date of birth" HelpText="Date of birth" Binding="patient/patient.birthdate" Left="276px" Top="90px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="DatePicker" HelpText="Date of birth" Binding="patient/patient.birthdate" Left="519px" Top="50px" Width="249px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/></Item><Item WidgetType="Label" Text="Stop form" HelpText="Label" Binding="LEFT46pxTOP26px" Left="46px" Top="30px" Height="30px" TabIndex="0" fontWeight="bold" fontSize="20px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif" borderStyle="solid" borderWidth="1px" textAlign="center"/><Item WidgetType="Label" Text="NACP number" HelpText="NACP number" Binding="patient/patient.medical_record_number" Left="620px" Top="40px" Height="0px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="NACP number" Binding="patient/patient.medical_record_number" Left="730px" Top="40px" Width="200px" Height="25px" TabIndex="41" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="DateTimeWidget" Binding="encounter/encounter.encounter_datetime" Left="730px" Top="80px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="Date" HelpText="Encounter date" Binding="encounter/encounter.encounter_datetime" Left="618px" Top="80px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="GroupBox" Binding="LEFT48pxTOP290px" Left="48px" Top="290px" Width="880px" Height="422px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" borderStyle="solid"><Item WidgetType="Label" Text="STOP INFORMATION" HelpText="Header Label" Binding="LEFT48pxTOP290px" 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(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" Text="Date patient stopped participation" HelpText="Date patient stopped participation-A question on KIULARCO HIV_MRS stop form." Binding="obs/stop_date/value" Left="10px" Top="30px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="DatePicker" HelpText="Date patient stopped participation-A question on KIULARCO HIV_MRS stop form." Binding="obs/stop_date/value" Left="300px" Top="30px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="Place of death" HelpText="Place of death-A question on KIULARCO HIV_MRS stop form." Binding="obs/death_place/value" Left="9px" Top="332px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="Name of person filling out the form" HelpText="Name of person filling out the form-A question on KIULARCO HIV_MRS stop form." Binding="obs/per_comp/value" Left="11px" Top="372px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="DatePicker" HelpText="Date of death-A question on KIULARCO HIV_MRS stop form." Binding="obs/death_date/value" Left="301px" Top="213px" Width="175px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="Primary cause of death:ICD 10 Code-A question on KIULARCO HIV_MRS stop form." Binding="obs/death_cause/value" Left="301px" Top="252px" Width="175px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="Name of person filling out the form-A question on KIULARCO HIV_MRS stop form." Binding="obs/per_comp/value" Left="301px" Top="372px" Width="553px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="If transferred,indicate where-A question on KIULARCO HIV_MRS stop form." Binding="obs/transfer_where/value" Left="301px" Top="172px" Width="558px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="Primary cause of death: ICD10 Code" HelpText="Primary cause of death:ICD 10 Code-A question on KIULARCO HIV_MRS stop form." Binding="obs/death_cause/value" Left="11px" Top="252px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="Source of information about death" HelpText="Source of information about death-A question on KIULARCO HIV_MRS stop form." Binding="obs/death_source/value" Left="8px" Top="295px" Height="1px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="RadioButton" Text="Relative" HelpText="Relative" Binding="161070^Relative^99DCT" ParentBinding="obs/death_source/value" Left="535px" Top="291px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="RadioButton" Text="Home" HelpText="HOME" Binding="1536^HOME^99DCT" ParentBinding="obs/death_place/value" Left="239px" Top="331px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="RadioButton" Text="Hospital" HelpText="HOSPITAL" Binding="1589^HOSPITAL^99DCT" ParentBinding="obs/death_place/value" Left="145px" Top="330px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="RadioButton" Text="Medical records" HelpText="MEDICAL RECORD OBSERVATIONS" Binding="1238^MEDICAL RECORD OBSERVATIONS^99DCT" ParentBinding="obs/death_source/value" Left="403px" Top="293px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="RadioButton" Text="Verbal autopsy" HelpText="Verbal autopsy" Binding="161480^Verbal outopsy^99DCT" ParentBinding="obs/death_source/value" Left="262px" Top="292px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="If transferred, indicate where" HelpText="If transferred,indicate where-A question on KIULARCO HIV_MRS stop form." Binding="obs/transfer_where/value" Left="9px" Top="163px" Height="24px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="Date of death" HelpText="Date of death-A question on KIULARCO HIV_MRS stop form." Binding="obs/death_date/value" Left="12px" Top="208px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/><Item WidgetType="Label" Text="Reason participation of patient was stopped" HelpText="Reason participation of patient was stopped-A question on KIULARCO HIV_MRS stop form." Binding="obs/stop_reason/value" Left="4px" Top="73px" Height="0px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="Died" HelpText="Died" Binding="160034^Died^99DCT" ParentBinding="obs/stop_reason/value" Left="308px" Top="73px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="Withdrew consent" HelpText="Withdrew consent" Binding="161139^Withdrew consent^99DCT" ParentBinding="obs/stop_reason/value" Left="372px" Top="73px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="Transferred " HelpText="PATIENT TRANSFERRED OUT" Binding="160036^PATIENT TRANSFERRED OUT^99DCT" ParentBinding="obs/stop_reason/value" Left="525px" Top="73px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="Lost to follow up" HelpText="Lost to follow up" Binding="161141^Lost to follow up^99DCT" ParentBinding="obs/stop_reason/value" Left="644px" Top="73px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="HIV seronegative child &gt;18 months" HelpText="HIV seronegative child less than 18 months" Binding="161828^HIV seronegative child less than 18 months^99DCT" ParentBinding="obs/stop_reason/value" Left="311px" Top="113px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="RadioButton" Text="Unknown" HelpText="UNKNOWN" Binding="1067^UNKNOWN^99DCT" ParentBinding="obs/stop_reason/value" Left="567px" Top="113px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Item><Item WidgetType="Button" Text="Submit" HelpText="submit" Binding="submit" Left="759px" Top="762px" Width="70px" Height="32px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif" Id="submit"/><Item WidgetType="Button" Text="Cancel" HelpText="cancel" Binding="cancel" Left="863px" Top="764px" Width="70px" Height="30px" TabIndex="0" fontSize="12px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,sans-serif"/></Page></Form></Layout><Language><LanguageText lang="en"><xform id="12"><text xpath="xforms/model[@id='openmrs_model']/instance[@id='openmrs_model_instance']/form[@name]" value="Stop form"/><text xpath="xforms/group[@id='1']/label" value="Page1"/><text xpath="xforms/group[@id='1']/input[@bind='patient.birthdate']/label" value="Date of birth"/><text xpath="xforms/group[@id='1']/input[@bind='patient.family_name']/label" value="Last name"/><text xpath="xforms/group[@id='1']/input[@bind='patient.given_name']/label" value="First name"/><text xpath="xforms/group[@id='1']/input[@bind='patient.medical_record_number']/label" value="NACP 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 date"/><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='1']/label" value="Unknown Location [1]"/><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="Claudio Zaugg [12]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='2']/label" value="Lucas Gervas Shayo [13]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='4']/label" value="Agata Correia Agata [3]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='3']/label" value="unknown [14]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='31']/label" value="Lukag shayog gervass [31]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='34']/label" value="juma2 juma2middle juma2family [34]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='8']/label" value="Agata Correia Agata [8]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='55']/label" value="Migration User March2013 [55]"/><text xpath="xforms/group[@id='1']/input[@bind='stop_date']/label" value="Date patient stopped participation"/><text xpath="xforms/group[@id='1']/input[@bind='stop_date']/hint" value="Date patient stopped participation-A question on KIULARCO HIV_MRS stop form."/><text xpath="xforms/group[@id='1']/select1[@bind='stop_reason']/label" value="Reason participation of patient was stopped"/><text xpath="xforms/group[@id='1']/select1[@bind='stop_reason']/hint" value="Reason participation of patient was stopped-A question on KIULARCO HIV_MRS stop form."/><text xpath="xforms/group[@id='1']/select1[@bind='stop_reason']/item[@id='160034^Died^99DCT']/label" value="Died"/><text xpath="xforms/group[@id='1']/select1[@bind='stop_reason']/item[@id='161139^Withdrew consent^99DCT']/label" value="Withdrew consent"/><text xpath="xforms/group[@id='1']/select1[@bind='stop_reason']/item[@id='160036^PATIENT TRANSFERRED OUT^99DCT']/label" value="PATIENT TRANSFERRED OUT"/><text xpath="xforms/group[@id='1']/select1[@bind='stop_reason']/item[@id='161141^Lost to follow up^99DCT']/label" value="Lost to follow up"/><text xpath="xforms/group[@id='1']/select1[@bind='stop_reason']/item[@id='1067^UNKNOWN^99DCT']/label" value="UNKNOWN"/><text xpath="xforms/group[@id='1']/select1[@bind='stop_reason']/item[@id='161828^HIV seronegative child less than 18 months^99DCT']/label" value="HIV seronegative child less than 18 months"/><text xpath="xforms/group[@id='1']/input[@bind='transfer_where']/label" value="If transferred,indicate where"/><text xpath="xforms/group[@id='1']/input[@bind='transfer_where']/hint" value="If transferred,indicate where-A question on KIULARCO HIV_MRS stop form."/><text xpath="xforms/group[@id='1']/input[@bind='death_date']/label" value="Date of death"/><text xpath="xforms/group[@id='1']/input[@bind='death_date']/hint" value="Date of death-A question on KIULARCO HIV_MRS stop form."/><text xpath="xforms/group[@id='1']/select1[@bind='death_source']/label" value="Source of information about death"/><text xpath="xforms/group[@id='1']/select1[@bind='death_source']/hint" value="Source of information about death-A question on KIULARCO HIV_MRS stop form."/><text xpath="xforms/group[@id='1']/select1[@bind='death_source']/item[@id='1238^MEDICAL RECORD OBSERVATIONS^99DCT']/label" value="MEDICAL RECORD OBSERVATIONS"/><text xpath="xforms/group[@id='1']/select1[@bind='death_source']/item[@id='161070^Relative^99DCT']/label" value="Relative"/><text xpath="xforms/group[@id='1']/select1[@bind='death_source']/item[@id='161480^Verbal outopsy^99DCT']/label" value="Verbal outopsy"/><text xpath="xforms/group[@id='1']/select1[@bind='death_place']/label" value="Place of death"/><text xpath="xforms/group[@id='1']/select1[@bind='death_place']/hint" value="Place of death-A question on KIULARCO HIV_MRS stop form."/><text xpath="xforms/group[@id='1']/select1[@bind='death_place']/item[@id='1589^HOSPITAL^99DCT']/label" value="HOSPITAL"/><text xpath="xforms/group[@id='1']/select1[@bind='death_place']/item[@id='1536^HOME^99DCT']/label" value="HOME"/><text xpath="xforms/group[@id='1']/input[@bind='per_comp']/label" value="Name of person filling out the form"/><text xpath="xforms/group[@id='1']/input[@bind='per_comp']/hint" value="Name of person filling out the form-A question on KIULARCO HIV_MRS stop form."/><text xpath="xforms/group[@id='1']/input[@bind='death_cause']/label" value="Primary cause of death:ICD 10 Code"/><text xpath="xforms/group[@id='1']/input[@bind='death_cause']/hint" value="Primary cause of death:ICD 10 Code-A question on KIULARCO HIV_MRS stop form."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='encounter.encounter_datetime'][@message]" value="Encounter date cannot be after today"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='stop_date'][@message]" value="Date here can not be in future, please check"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='transfer_where'][@message]" value="The length of the field is more than the required, please check"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='death_date'][@message]" value="Date here can not be in future, please check"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='per_comp'][@message]" value="The length of the field is more than the required, please check"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='death_cause'][@message]" value="The length of the field is more than the required, please check"/></xform><Form id="12"><text xpath="Form/Page[@Binding='Page1'][@Text]" value="Page1"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox'][@Top]" value="120px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox'][@Left]" value="48px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox'][@Width]" value="880px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='Label'][@Text]" value="PATIENT INFORMATION"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='Label'][@HelpText]" value="Header Label"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='Label'][@Top]" value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='Label'][@Left]" value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='Label'][@Width]" value="100%"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.given_name' and @WidgetType='TextBox'][@HelpText]" value="First name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.given_name' and @WidgetType='TextBox'][@Top]" value="50px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.given_name' and @WidgetType='TextBox'][@Left]" value="273px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.given_name' and @WidgetType='TextBox'][@Width]" value="223px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.middle_name' and @WidgetType='Label'][@Text]" value="Middle name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.middle_name' and @WidgetType='Label'][@HelpText]" value="Middle name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.middle_name' and @WidgetType='Label'][@Top]" value="30px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.middle_name' and @WidgetType='Label'][@Left]" value="518px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.given_name' and @WidgetType='Label'][@Text]" value="First name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.given_name' and @WidgetType='Label'][@HelpText]" value="First name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.given_name' and @WidgetType='Label'][@Top]" value="30px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.given_name' and @WidgetType='Label'][@Left]" value="273px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.family_name' and @WidgetType='Label'][@Text]" value="Last name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.family_name' and @WidgetType='Label'][@HelpText]" value="Last name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.family_name' and @WidgetType='Label'][@Top]" value="30px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and 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@WidgetType='TextBox'][@HelpText]" value="Sex"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.sex' and @WidgetType='TextBox'][@Top]" value="110px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.sex' and @WidgetType='TextBox'][@Left]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.sex' and @WidgetType='TextBox'][@Width]" value="235px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.family_name' and @WidgetType='TextBox'][@HelpText]" value="Last name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.family_name' and @WidgetType='TextBox'][@Top]" value="50px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.family_name' and @WidgetType='TextBox'][@Left]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.family_name' and @WidgetType='TextBox'][@Width]" value="232px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.middle_name' and @WidgetType='TextBox'][@HelpText]" value="Middle name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.middle_name' and @WidgetType='TextBox'][@Top]" value="110px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.middle_name' and @WidgetType='TextBox'][@Left]" value="272px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.middle_name' and @WidgetType='TextBox'][@Width]" value="224px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.birthdate' and @WidgetType='Label'][@Text]" value="Date of birth"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.birthdate' and @WidgetType='Label'][@HelpText]" value="Date of birth"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.birthdate' and @WidgetType='Label'][@Top]" value="90px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.birthdate' and @WidgetType='Label'][@Left]" value="276px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@HelpText]" value="Date of birth"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@Top]" value="50px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@Left]" value="519px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP120px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@Width]" value="249px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT46pxTOP26px' and @WidgetType='Label'][@Text]" value="Stop form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT46pxTOP26px' and @WidgetType='Label'][@HelpText]" value="Label"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT46pxTOP26px' and @WidgetType='Label'][@Top]" value="30px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT46pxTOP26px' and @WidgetType='Label'][@Left]" value="46px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='Label'][@Text]" value="NACP number"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='Label'][@HelpText]" value="NACP number"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='Label'][@Top]" value="40px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='Label'][@Left]" value="620px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='TextBox'][@HelpText]" value="NACP number"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='TextBox'][@Top]" value="40px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.medical_record_number' and @WidgetType='TextBox'][@Left]" value="730px"/><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='encounter/encounter.encounter_datetime' and @WidgetType='DateTimeWidget'][@Top]" value="80px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='DateTimeWidget'][@Left]" value="730px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='DateTimeWidget'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='Label'][@Text]" value="Date"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='Label'][@HelpText]" value="Encounter date"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='Label'][@Top]" value="80px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='Label'][@Left]" value="618px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox'][@Top]" value="290px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox'][@Left]" value="48px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox'][@Width]" value="880px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='Label'][@Text]" value="STOP INFORMATION"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='Label'][@HelpText]" value="Header Label"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='Label'][@Top]" value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='Label'][@Left]" value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='Label'][@Width]" value="100%"/><text 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@WidgetType='DatePicker'][@HelpText]" value="Date patient stopped participation-A question on KIULARCO HIV_MRS stop form."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/stop_date/value' and @WidgetType='DatePicker'][@Top]" value="30px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/stop_date/value' and @WidgetType='DatePicker'][@Left]" value="300px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/stop_date/value' and @WidgetType='DatePicker'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_place/value' and @WidgetType='Label'][@Text]" value="Place of death"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_place/value' and @WidgetType='Label'][@HelpText]" value="Place of death-A question on KIULARCO HIV_MRS stop form."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_place/value' and @WidgetType='Label'][@Top]" value="332px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_place/value' and @WidgetType='Label'][@Left]" value="9px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/per_comp/value' and @WidgetType='Label'][@Text]" value="Name of person filling out the form"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/per_comp/value' and @WidgetType='Label'][@HelpText]" value="Name of person filling out the form-A question on KIULARCO HIV_MRS stop form."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/per_comp/value' and @WidgetType='Label'][@Top]" value="372px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/per_comp/value' and @WidgetType='Label'][@Left]" value="11px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_date/value' and @WidgetType='DatePicker'][@HelpText]" value="Date of death-A question on KIULARCO HIV_MRS stop form."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_date/value' and @WidgetType='DatePicker'][@Top]" value="213px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_date/value' and @WidgetType='DatePicker'][@Left]" value="301px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_date/value' and @WidgetType='DatePicker'][@Width]" value="175px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_cause/value' and @WidgetType='TextBox'][@HelpText]" value="Primary cause of death:ICD 10 Code-A question on KIULARCO HIV_MRS stop form."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_cause/value' and @WidgetType='TextBox'][@Top]" value="252px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_cause/value' and @WidgetType='TextBox'][@Left]" value="301px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_cause/value' and @WidgetType='TextBox'][@Width]" value="175px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/per_comp/value' and @WidgetType='TextBox'][@HelpText]" value="Name of person filling out the form-A question on KIULARCO HIV_MRS stop form."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/per_comp/value' and @WidgetType='TextBox'][@Top]" value="372px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/per_comp/value' and @WidgetType='TextBox'][@Left]" value="301px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/per_comp/value' and @WidgetType='TextBox'][@Width]" value="553px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/transfer_where/value' and @WidgetType='TextBox'][@HelpText]" value="If transferred,indicate where-A question on KIULARCO HIV_MRS stop form."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/transfer_where/value' and @WidgetType='TextBox'][@Top]" value="172px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/transfer_where/value' and @WidgetType='TextBox'][@Left]" value="301px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/transfer_where/value' and @WidgetType='TextBox'][@Width]" value="558px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_cause/value' and @WidgetType='Label'][@Text]" value="Primary cause of death: ICD10 Code"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_cause/value' and @WidgetType='Label'][@HelpText]" value="Primary cause of death:ICD 10 Code-A question on KIULARCO HIV_MRS stop form."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_cause/value' and @WidgetType='Label'][@Top]" value="252px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_cause/value' and @WidgetType='Label'][@Left]" value="11px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_source/value' and @WidgetType='Label'][@Text]" value="Source of information about death"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_source/value' and @WidgetType='Label'][@HelpText]" value="Source of information about death-A question on KIULARCO HIV_MRS stop form."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_source/value' and @WidgetType='Label'][@Top]" value="295px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_source/value' and @WidgetType='Label'][@Left]" value="8px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='161070^Relative^99DCT' and @ParentBinding='obs/death_source/value' and @WidgetType='RadioButton'][@Text]" value="Relative"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='161070^Relative^99DCT' and @ParentBinding='obs/death_source/value' and @WidgetType='RadioButton'][@HelpText]" value="Relative"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='161070^Relative^99DCT' and @ParentBinding='obs/death_source/value' and @WidgetType='RadioButton'][@Top]" value="291px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='161070^Relative^99DCT' and @ParentBinding='obs/death_source/value' and @WidgetType='RadioButton'][@Left]" value="535px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='1536^HOME^99DCT' and @ParentBinding='obs/death_place/value' and @WidgetType='RadioButton'][@Text]" value="Home"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='1536^HOME^99DCT' and @ParentBinding='obs/death_place/value' and @WidgetType='RadioButton'][@HelpText]" value="HOME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='1536^HOME^99DCT' and @ParentBinding='obs/death_place/value' and @WidgetType='RadioButton'][@Top]" value="331px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='1536^HOME^99DCT' and @ParentBinding='obs/death_place/value' and @WidgetType='RadioButton'][@Left]" value="239px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='1589^HOSPITAL^99DCT' and @ParentBinding='obs/death_place/value' and @WidgetType='RadioButton'][@Text]" value="Hospital"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='1589^HOSPITAL^99DCT' and @ParentBinding='obs/death_place/value' and @WidgetType='RadioButton'][@HelpText]" value="HOSPITAL"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='1589^HOSPITAL^99DCT' and @ParentBinding='obs/death_place/value' and @WidgetType='RadioButton'][@Top]" value="330px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='1589^HOSPITAL^99DCT' and @ParentBinding='obs/death_place/value' and @WidgetType='RadioButton'][@Left]" value="145px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='1238^MEDICAL RECORD OBSERVATIONS^99DCT' and @ParentBinding='obs/death_source/value' and @WidgetType='RadioButton'][@Text]" value="Medical records"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='1238^MEDICAL RECORD OBSERVATIONS^99DCT' and @ParentBinding='obs/death_source/value' and @WidgetType='RadioButton'][@HelpText]" value="MEDICAL RECORD 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@WidgetType='RadioButton'][@HelpText]" value="Verbal autopsy"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='161480^Verbal outopsy^99DCT' and @ParentBinding='obs/death_source/value' and @WidgetType='RadioButton'][@Top]" value="292px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='161480^Verbal outopsy^99DCT' and @ParentBinding='obs/death_source/value' and @WidgetType='RadioButton'][@Left]" value="262px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/transfer_where/value' and @WidgetType='Label'][@Text]" value="If transferred, indicate where"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/transfer_where/value' and @WidgetType='Label'][@HelpText]" value="If transferred,indicate where-A question on KIULARCO HIV_MRS stop form."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/transfer_where/value' and @WidgetType='Label'][@Top]" value="163px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/transfer_where/value' and @WidgetType='Label'][@Left]" value="9px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_date/value' and @WidgetType='Label'][@Text]" value="Date of death"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_date/value' and @WidgetType='Label'][@HelpText]" value="Date of death-A question on KIULARCO HIV_MRS stop form."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_date/value' and @WidgetType='Label'][@Top]" value="208px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/death_date/value' and @WidgetType='Label'][@Left]" value="12px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/stop_reason/value' and @WidgetType='Label'][@Text]" value="Reason participation of patient was stopped"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/stop_reason/value' and @WidgetType='Label'][@HelpText]" value="Reason participation of patient was stopped-A question on KIULARCO HIV_MRS stop form."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/stop_reason/value' and @WidgetType='Label'][@Top]" value="73px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='obs/stop_reason/value' and @WidgetType='Label'][@Left]" value="4px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='160034^Died^99DCT' and @ParentBinding='obs/stop_reason/value' and @WidgetType='RadioButton'][@Text]" value="Died"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='160034^Died^99DCT' and @ParentBinding='obs/stop_reason/value' and @WidgetType='RadioButton'][@HelpText]" value="Died"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='160034^Died^99DCT' and @ParentBinding='obs/stop_reason/value' and @WidgetType='RadioButton'][@Top]" value="73px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='160034^Died^99DCT' and @ParentBinding='obs/stop_reason/value' and @WidgetType='RadioButton'][@Left]" value="308px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='161139^Withdrew consent^99DCT' and @ParentBinding='obs/stop_reason/value' and @WidgetType='RadioButton'][@Text]" value="Withdrew consent"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='161139^Withdrew consent^99DCT' and @ParentBinding='obs/stop_reason/value' and @WidgetType='RadioButton'][@HelpText]" value="Withdrew consent"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='161139^Withdrew consent^99DCT' and @ParentBinding='obs/stop_reason/value' and @WidgetType='RadioButton'][@Top]" value="73px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='161139^Withdrew consent^99DCT' and @ParentBinding='obs/stop_reason/value' and @WidgetType='RadioButton'][@Left]" value="372px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='160036^PATIENT TRANSFERRED OUT^99DCT' and @ParentBinding='obs/stop_reason/value' and @WidgetType='RadioButton'][@Text]" value="Transferred "/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='160036^PATIENT TRANSFERRED OUT^99DCT' and @ParentBinding='obs/stop_reason/value' and @WidgetType='RadioButton'][@HelpText]" value="PATIENT TRANSFERRED OUT"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='160036^PATIENT TRANSFERRED OUT^99DCT' and @ParentBinding='obs/stop_reason/value' and @WidgetType='RadioButton'][@Top]" value="73px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP290px' and @WidgetType='GroupBox']/Item[@Binding='160036^PATIENT TRANSFERRED OUT^99DCT' and 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