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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="19" name="Medical History" version="0.1" uuid="0bd5e00d-4730-4235-a231-4893878a7711" xmlns:openmrs="/moduleServlet/formentry/forms/schema/19-1" 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.birthdate_estimated openmrs_table="patient" openmrs_attribute="birthdate_estimated"/>
  15. <patient.family_name openmrs_table="patient_name" openmrs_attribute="family_name"/>
  16. <patient.given_name openmrs_table="patient_name" openmrs_attribute="given_name"/>
  17. <patient.medical_record_number openmrs_table="patient_identifier" openmrs_attribute="identifier"/>
  18. <patient.middle_name openmrs_table="patient_name" openmrs_attribute="middle_name"/>
  19. <patient.patient_id openmrs_table="patient" openmrs_attribute="patient_id"/>
  20. <patient.sex openmrs_table="patient" openmrs_attribute="gender"/>
  21. <patient.tribe openmrs_table="patient" openmrs_attribute="tribe"/>
  22. <patient_address.address1 openmrs_table="patient_address" openmrs_attribute="address1"/>
  23. <patient_address.address2 openmrs_table="patient_address" openmrs_attribute="address2"/>
  24. <patient_relative>
  25. <patient_relative.person/>
  26. <patient_relative.relationship/>
  27. </patient_relative>
  28. </patient>
  29. <encounter>
  30. <encounter.encounter_datetime openmrs_table="encounter" openmrs_attribute="encounter_datetime">'today()'</encounter.encounter_datetime>
  31. <encounter.location_id openmrs_table="encounter" openmrs_attribute="location_id"/>
  32. <encounter.provider_id openmrs_table="encounter" openmrs_attribute="provider_id" provider_id_type="PROVIDER.ID"/>
  33. </encounter>
  34. <obs>
  35. <advise openmrs_concept="6100^advise^99DCT" openmrs_datatype="ST">
  36. <date xsi:nil="true"/>
  37. <time xsi:nil="true"/>
  38. <value xsi:nil="true"/>
  39. </advise>
  40. <past_medical_history openmrs_concept="6101^past medical history^99DCT" openmrs_datatype="ST">
  41. <date xsi:nil="true"/>
  42. <time xsi:nil="true"/>
  43. <value xsi:nil="true"/>
  44. </past_medical_history>
  45. <presenting_complains openmrs_concept="6099^presenting complains^99DCT" openmrs_datatype="ST">
  46. <date xsi:nil="true"/>
  47. <time xsi:nil="true"/>
  48. <value xsi:nil="true"/>
  49. </presenting_complains>
  50. <weight_kg openmrs_concept="5089^WEIGHT (KG)^99DCT" openmrs_datatype="NM">
  51. <date xsi:nil="true"/>
  52. <time xsi:nil="true"/>
  53. <value xsi:nil="true"/>
  54. </weight_kg>
  55. </obs>
  56. <problem_list openmrs_concept="1284^PROBLEM LIST^99DCT" openmrs_datatype="ZZ">
  57. <problem_added openmrs_concept="6042^PROBLEM ADDED^99DCT" openmrs_datatype="CWE" multiple="0">
  58. <date xsi:nil="true"/>
  59. <time xsi:nil="true"/>
  60. <value xsi:nil="true"/>
  61. </problem_added>
  62. <problem_resolved openmrs_concept="6097^PROBLEM RESOLVED^99DCT" openmrs_datatype="CWE" multiple="0">
  63. <date xsi:nil="true"/>
  64. <time xsi:nil="true"/>
  65. <value xsi:nil="true"/>
  66. </problem_resolved>
  67. </problem_list>
  68. </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.birthdate_estimated" nodeset="/form/patient/patient.birthdate_estimated" type="xsd:boolean" locked="true()"/>
  72. <xf:bind id="patient.family_name" nodeset="/form/patient/patient.family_name" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="familyName"/>
  73. <xf:bind id="patient.given_name" nodeset="/form/patient/patient.given_name" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="givenName"/>
  74. <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"/>
  75. <xf:bind id="patient.middle_name" nodeset="/form/patient/patient.middle_name" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="middleName"/>
  76. <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"/>
  77. <xf:bind id="patient.sex" nodeset="/form/patient/patient.sex" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="sex"/>
  78. <xf:bind id="patient.tribe" nodeset="/form/patient/patient.tribe" type="xsd:string" locked="true()"/>
  79. <xf:bind id="patient_address.address1" nodeset="/form/patient/patient_address.address1" type="xsd:string" locked="true()"/>
  80. <xf:bind id="patient_address.address2" nodeset="/form/patient/patient_address.address2" type="xsd:string" locked="true()"/>
  81. <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()"/>
  82. <xf:bind id="encounter.location_id" nodeset="/form/encounter/encounter.location_id" type="xsd:string" required="true()"/>
  83. <xf:bind id="encounter.provider_id" nodeset="/form/encounter/encounter.provider_id" type="xsd:string" required="true()"/>
  84. <xf:bind id="advise" nodeset="/form/obs/advise/value" type="xsd:string"/>
  85. <xf:bind id="past_medical_history" nodeset="/form/obs/past_medical_history/value" type="xsd:string"/>
  86. <xf:bind id="presenting_complains" nodeset="/form/obs/presenting_complains/value" type="xsd:string"/>
  87. <xf:bind id="weight_kg" nodeset="/form/obs/weight_kg/value" type="xsd:decimal" constraint=". &gt;= 0.0 and . &lt;= 250.0" message="value should be between 0.0 and 250.0 inclusive"/>
  88. <xf:bind id="problem_added" nodeset="/form/problem_list/problem_added"/>
  89. <xf:bind id="problem_resolved" nodeset="/form/problem_list/problem_resolved"/>
  90. <xf:bind id="problem_list_problem_added_value" nodeset="/form/problem_list/problem_added/value" type="xsd:string"/>
  91. <xf:bind id="problem_list_problem_resolved_value" nodeset="/form/problem_list/problem_resolved/value" type="xsd:string"/>
  92. <xf:bind id="patient_relative" nodeset="/form/patient/patient_relative"/>
  93. <xf:bind id="patient_relative.person" nodeset="/form/patient/patient_relative/patient_relative.person" type="xsd:string"/>
  94. <xf:bind id="patient_relative.relationship" nodeset="/form/patient/patient_relative/patient_relative.relationship" type="xsd:string"/>
  95. </xf:model>
  96. <xf:group id="1">
  97. <xf:label>Page1</xf:label>
  98. <xf:input bind="patient.birthdate">
  99. <xf:label>BIRTHDATE</xf:label>
  100. </xf:input>
  101. <xf:input bind="patient.birthdate_estimated">
  102. <xf:label>BIRTHDATE ESTIMATED</xf:label>
  103. </xf:input>
  104. <xf:input bind="patient.family_name">
  105. <xf:label>FAMILY NAME</xf:label>
  106. </xf:input>
  107. <xf:input bind="patient.given_name">
  108. <xf:label>GIVEN NAME</xf:label>
  109. </xf:input>
  110. <xf:input bind="patient.medical_record_number">
  111. <xf:label>MEDICAL RECORD NUMBER</xf:label>
  112. </xf:input>
  113. <xf:input bind="patient.middle_name">
  114. <xf:label>MIDDLE NAME</xf:label>
  115. </xf:input>
  116. <xf:input bind="patient.patient_id">
  117. <xf:label>PATIENT ID</xf:label>
  118. </xf:input>
  119. <xf:input bind="patient.sex">
  120. <xf:label>SEX</xf:label>
  121. </xf:input>
  122. <xf:input bind="patient.tribe">
  123. <xf:label>TRIBE</xf:label>
  124. </xf:input>
  125. <xf:input bind="patient_address.address1">
  126. <xf:label>ADDRESS1</xf:label>
  127. </xf:input>
  128. <xf:input bind="patient_address.address2">
  129. <xf:label>ADDRESS2</xf:label>
  130. </xf:input>
  131. <xf:input bind="encounter.encounter_datetime">
  132. <xf:label>ENCOUNTER DATETIME</xf:label>
  133. </xf:input>
  134. <xf:select1 bind="encounter.location_id">
  135. <xf:label>LOCATION ID</xf:label>
  136. <xf:item id="4">
  137. <xf:label>Chulaimbo [4]</xf:label>
  138. <xf:value>4</xf:value>
  139. </xf:item>
  140. <xf:item id="3">
  141. <xf:label>Mosoriot Hospital [3]</xf:label>
  142. <xf:value>3</xf:value>
  143. </xf:item>
  144. <xf:item id="1">
  145. <xf:label>Unknown Location [1]</xf:label>
  146. <xf:value>1</xf:value>
  147. </xf:item>
  148. <xf:item id="11">
  149. <xf:label>Unknown Location 10 [11]</xf:label>
  150. <xf:value>11</xf:value>
  151. </xf:item>
  152. <xf:item id="12">
  153. <xf:label>Unknown Location 11 [12]</xf:label>
  154. <xf:value>12</xf:value>
  155. </xf:item>
  156. <xf:item id="13">
  157. <xf:label>Unknown Location 12 [13]</xf:label>
  158. <xf:value>13</xf:value>
  159. </xf:item>
  160. <xf:item id="14">
  161. <xf:label>Unknown Location 13 [14]</xf:label>
  162. <xf:value>14</xf:value>
  163. </xf:item>
  164. <xf:item id="15">
  165. <xf:label>Unknown Location 14 [15]</xf:label>
  166. <xf:value>15</xf:value>
  167. </xf:item>
  168. <xf:item id="16">
  169. <xf:label>Unknown Location 15 [16]</xf:label>
  170. <xf:value>16</xf:value>
  171. </xf:item>
  172. <xf:item id="17">
  173. <xf:label>Unknown Location 16 [17]</xf:label>
  174. <xf:value>17</xf:value>
  175. </xf:item>
  176. <xf:item id="18">
  177. <xf:label>Unknown Location 17 [18]</xf:label>
  178. <xf:value>18</xf:value>
  179. </xf:item>
  180. <xf:item id="19">
  181. <xf:label>Unknown Location 18 [19]</xf:label>
  182. <xf:value>19</xf:value>
  183. </xf:item>
  184. <xf:item id="5">
  185. <xf:label>Unknown Location 4 [5]</xf:label>
  186. <xf:value>5</xf:value>
  187. </xf:item>
  188. <xf:item id="6">
  189. <xf:label>Unknown Location 5 [6]</xf:label>
  190. <xf:value>6</xf:value>
  191. </xf:item>
  192. <xf:item id="7">
  193. <xf:label>Unknown Location 6 [7]</xf:label>
  194. <xf:value>7</xf:value>
  195. </xf:item>
  196. <xf:item id="8">
  197. <xf:label>Unknown Location 7 [8]</xf:label>
  198. <xf:value>8</xf:value>
  199. </xf:item>
  200. <xf:item id="9">
  201. <xf:label>Unknown Location 8 [9]</xf:label>
  202. <xf:value>9</xf:value>
  203. </xf:item>
  204. <xf:item id="10">
  205. <xf:label>Unknown Location 9 [10]</xf:label>
  206. <xf:value>10</xf:value>
  207. </xf:item>
  208. <xf:item id="2">
  209. <xf:label>Wishard Hospital [2]</xf:label>
  210. <xf:value>2</xf:value>
  211. </xf:item>
  212. </xf:select1>
  213. <xf:select1 bind="encounter.provider_id">
  214. <xf:label>PROVIDER ID</xf:label>
  215. <xf:item id="1">
  216. <xf:label>Super User [admin]</xf:label>
  217. <xf:value>1</xf:value>
  218. </xf:item>
  219. </xf:select1>
  220. <xf:input bind="advise">
  221. <xf:label>advise</xf:label>
  222. </xf:input>
  223. <xf:input bind="past_medical_history">
  224. <xf:label>past medical history</xf:label>
  225. </xf:input>
  226. <xf:input bind="presenting_complains">
  227. <xf:label>presenting complains</xf:label>
  228. </xf:input>
  229. <xf:input bind="weight_kg">
  230. <xf:label>WEIGHT (KG)</xf:label>
  231. <xf:hint>Patient's weight in kilograms.</xf:hint>
  232. </xf:input>
  233. <xf:group id="problem_list/problem_added">
  234. <xf:label>PROBLEM ADDED</xf:label>
  235. <xf:hint>Diagnosis or problem noted on a patient encounter.</xf:hint>
  236. <xf:repeat bind="problem_added">
  237. <xf:input bind="problem_list_problem_added_value">
  238. <xf:label>problem_added value</xf:label>
  239. <xf:hint>Diagnosis or problem noted on a patient encounter.</xf:hint>
  240. </xf:input>
  241. </xf:repeat>
  242. </xf:group>
  243. <xf:group id="problem_list/problem_resolved">
  244. <xf:label>PROBLEM RESOLVED</xf:label>
  245. <xf:hint>Diagnosis or problem noted on a patient encounter as being resolved.</xf:hint>
  246. <xf:repeat bind="problem_resolved">
  247. <xf:input bind="problem_list_problem_resolved_value">
  248. <xf:label>problem_resolved value</xf:label>
  249. <xf:hint>Diagnosis or problem noted on a patient encounter as being resolved.</xf:hint>
  250. </xf:input>
  251. </xf:repeat>
  252. </xf:group>
  253. <xf:group id="patient/patient_relative">
  254. <xf:label>RELATIONSHIPS</xf:label>
  255. <xf:hint>Relationships that this patient has.</xf:hint>
  256. <xf:repeat bind="patient_relative">
  257.  
  258. <xf:input bind="patient_relative.person">
  259. <xf:label>RELATIVE</xf:label>
  260. </xf:input>
  261.  
  262. <xf:select1 bind="patient_relative.relationship">
  263. <xf:item id="1A">
  264. <xf:label>is Doctor [1]</xf:label>
  265. <xf:value>1A</xf:value>
  266. </xf:item>
  267. <xf:item id="1B">
  268. <xf:label>is Patient [1]</xf:label>
  269. <xf:value>1B</xf:value>
  270. </xf:item>
  271. <xf:item id="2A">
  272. <xf:label>is Sibling [2]</xf:label>
  273. <xf:value>2A</xf:value>
  274. </xf:item>
  275. <xf:item id="3A">
  276. <xf:label>is Parent [3]</xf:label>
  277. <xf:value>3A</xf:value>
  278. </xf:item>
  279. <xf:item id="3B">
  280. <xf:label>is Child [3]</xf:label>
  281. <xf:value>3B</xf:value>
  282. </xf:item>
  283. <xf:item id="4A">
  284. <xf:label>is Aunt/Uncle [4]</xf:label>
  285. <xf:value>4A</xf:value>
  286. </xf:item>
  287. <xf:item id="4B">
  288. <xf:label>is Niece/Nephew [4]</xf:label>
  289. <xf:value>4B</xf:value>
  290. </xf:item>
  291. <xf:label>RELATIONSHIP</xf:label>
  292. </xf:select1>
  293. </xf:repeat>
  294. </xf:group>
  295. </xf:group>
  296. </xf:xforms></Xform><Layout><Form id="19"><Page Text="Page1" fontWeight="normal" fontSize="16px" fontFamily="Verdana, 'Lucida Grande', 'Trebuchet MS', Arial, Sans-Serif" Binding="Page1" Width="900px" Height="1410px" backgroundColor=""><Item WidgetType="Label" Text="BIRTHDATE" HelpText="BIRTHDATE" Binding="patient/patient.birthdate" Left="149px" Top="20px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="DatePicker" HelpText="BIRTHDATE" Binding="patient/patient.birthdate" Left="247px" Top="20px" Width="200px" Height="25px" TabIndex="1" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="BIRTHDATE ESTIMATED" HelpText="BIRTHDATE ESTIMATED" Binding="patient/patient.birthdate_estimated" Left="51px" Top="60px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="FAMILY NAME" HelpText="FAMILY NAME" Binding="patient/patient.family_name" Left="132px" Top="100px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="FAMILY NAME" Binding="patient/patient.family_name" Left="247px" Top="100px" Width="200px" Height="25px" TabIndex="3" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="GIVEN NAME" HelpText="GIVEN NAME" Binding="patient/patient.given_name" Left="138px" Top="140px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="GIVEN NAME" Binding="patient/patient.given_name" Left="247px" Top="140px" Width="200px" Height="25px" TabIndex="4" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="MEDICAL RECORD NUMBER" HelpText="MEDICAL RECORD NUMBER" Binding="patient/patient.medical_record_number" Left="20px" Top="180px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="MEDICAL RECORD NUMBER" Binding="patient/patient.medical_record_number" Left="247px" Top="180px" Width="200px" Height="25px" TabIndex="5" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="MIDDLE NAME" HelpText="MIDDLE NAME" Binding="patient/patient.middle_name" Left="127px" Top="220px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="MIDDLE NAME" Binding="patient/patient.middle_name" Left="247px" Top="220px" Width="200px" Height="25px" TabIndex="6" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="SEX" HelpText="SEX" Binding="patient/patient.sex" Left="211px" Top="260px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="SEX" Binding="patient/patient.sex" Left="247px" Top="260px" Width="200px" Height="25px" TabIndex="7" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="TRIBE" HelpText="TRIBE" Binding="patient/patient.tribe" Left="193px" Top="300px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="TRIBE" Binding="patient/patient.tribe" Left="247px" Top="300px" Width="200px" Height="25px" TabIndex="8" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="ADDRESS1" HelpText="ADDRESS1" Binding="patient/patient_address.address1" Left="156px" Top="340px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="ADDRESS1" Binding="patient/patient_address.address1" Left="247px" Top="340px" Width="200px" Height="25px" TabIndex="9" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="ADDRESS2" HelpText="ADDRESS2" Binding="patient/patient_address.address2" Left="156px" Top="380px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="ADDRESS2" Binding="patient/patient_address.address2" Left="247px" Top="380px" Width="200px" Height="25px" TabIndex="10" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="ENCOUNTER DATETIME" HelpText="ENCOUNTER DATETIME" Binding="encounter/encounter.encounter_datetime" Left="53px" Top="420px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="DatePicker" HelpText="ENCOUNTER DATETIME" Binding="encounter/encounter.encounter_datetime" Left="247px" Top="420px" Width="200px" Height="25px" TabIndex="11" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="LOCATION ID" HelpText="LOCATION ID" Binding="encounter/encounter.location_id" Left="132px" Top="460px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="ListBox" HelpText="LOCATION ID" Binding="encounter/encounter.location_id" Left="247px" Top="460px" Width="200px" Height="25px" TabIndex="12" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="PROVIDER ID" HelpText="PROVIDER ID" Binding="encounter/encounter.provider_id" Left="132px" Top="500px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="ListBox" HelpText="PROVIDER ID" Binding="encounter/encounter.provider_id" Left="247px" Top="500px" Width="200px" Height="25px" TabIndex="13" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="advise" HelpText="advise" Binding="obs/advise/value" Left="189px" Top="540px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="advise" Binding="obs/advise/value" Left="247px" Top="540px" Width="200px" Height="25px" TabIndex="14" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="past medical history" HelpText="past medical history" Binding="obs/past_medical_history/value" Left="75px" Top="580px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="past medical history" Binding="obs/past_medical_history/value" Left="247px" Top="580px" Width="200px" Height="25px" TabIndex="15" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="presenting complains" HelpText="presenting complains" Binding="obs/presenting_complains/value" Left="67px" Top="620px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="presenting complains" Binding="obs/presenting_complains/value" Left="247px" Top="620px" Width="200px" Height="25px" TabIndex="16" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="WEIGHT (KG)" HelpText="WEIGHT (KG)" Binding="obs/weight_kg/value" Left="131px" Top="660px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="Patient's weight in kilograms." Binding="obs/weight_kg/value" Left="247px" Top="660px" Width="200px" Height="25px" TabIndex="17" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="PROBLEM ADDED" HelpText="PROBLEM ADDED" Binding="problem_list/problem_added" Left="20px" Top="700px" TabIndex="0" fontWeight="bold" fontStyle="italic" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="problem_added value" HelpText="problem_added value" Binding="problem_list/problem_added/value" Left="35px" Top="725px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif" textDecoration="underline"/><Item WidgetType="GroupBox" HelpText="Diagnosis or problem noted on a patient encounter." Binding="problem_list/problem_added" Left="20px" Top="750px" Width="265px" Height="100px" TabIndex="18" fontSize="16px" fontFamily="Verdana, 'Lucida Grande', 'Trebuchet MS', Arial, Sans-Serif" borderWidth="1px" 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,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="problem_added value" Binding="problem_list/problem_added/value" Left="10px" Top="10px" Width="200px" Height="25px" TabIndex="1" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/></Item><Item WidgetType="Label" Text="PROBLEM RESOLVED" HelpText="PROBLEM RESOLVED" Binding="problem_list/problem_resolved" Left="20px" Top="880px" TabIndex="0" fontWeight="bold" fontStyle="italic" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="problem_resolved value" HelpText="problem_resolved value" Binding="problem_list/problem_resolved/value" Left="35px" Top="905px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,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="20px" Top="930px" Width="265px" Height="100px" TabIndex="19" fontSize="16px" fontFamily="Verdana, 'Lucida Grande', 'Trebuchet MS', Arial, Sans-Serif" borderWidth="1px" 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,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="problem_resolved value" Binding="problem_list/problem_resolved/value" Left="10px" Top="10px" Width="200px" Height="25px" TabIndex="1" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/></Item><Item WidgetType="Label" Text="RELATIONSHIPS" HelpText="RELATIONSHIPS" Binding="patient/patient_relative" Left="20px" Top="1060px" TabIndex="0" fontWeight="bold" fontStyle="italic" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Label" Text="RELATIVE" HelpText="RELATIVE" Binding="patient/patient_relative/patient_relative.person" Left="35px" Top="1085px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif" textDecoration="underline"/><Item WidgetType="Label" Text="RELATIONSHIP" HelpText="RELATIONSHIP" Binding="patient/patient_relative/patient_relative.relationship" Left="245px" Top="1085px" TabIndex="0" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif" textDecoration="underline"/><Item WidgetType="GroupBox" HelpText="Relationships that this patient has." Binding="patient/patient_relative" Left="20px" Top="1110px" Width="425px" Height="100px" TabIndex="20" fontSize="16px" fontFamily="Verdana, 'Lucida Grande', 'Trebuchet MS', Arial, Sans-Serif" borderWidth="1px" 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,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="TextBox" HelpText="RELATIVE" Binding="patient/patient_relative/patient_relative.person" Left="10px" Top="10px" Width="200px" Height="25px" TabIndex="1" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="ListBox" HelpText="RELATIONSHIP" Binding="patient/patient_relative/patient_relative.relationship" Left="215px" Top="10px" Width="200px" Height="25px" TabIndex="2" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/></Item><Item WidgetType="Button" Text="Submit" HelpText="submit" Binding="submit" Left="20px" Top="1250px" Width="70px" Height="30px" TabIndex="21" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="Button" Text="Close" HelpText="cancel" Binding="cancel" Left="220px" Top="1250px" Width="70px" Height="30px" TabIndex="22" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/><Item WidgetType="ListBox" HelpText="BIRTHDATE ESTIMATED" Binding="patient/patient.birthdate_estimated" Left="247px" Top="60px" Width="200px" Height="25px" TabIndex="2" fontSize="16px" fontFamily="Verdana,&quot;Lucida Grande&quot;,&quot;Trebuchet MS&quot;,Arial,sans-serif"/></Page></Form></Layout><Language><LanguageText lang="en"><xform id="19"><text xpath="xforms/model[@id='openmrs_model']/instance[@id='openmrs_model_instance']/form[@name]" value="Medical History"/><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.birthdate_estimated']/label" value="BIRTHDATE ESTIMATED"/><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='patient.tribe']/label" value="TRIBE"/><text xpath="xforms/group[@id='1']/input[@bind='patient_address.address1']/label" value="ADDRESS1"/><text xpath="xforms/group[@id='1']/input[@bind='patient_address.address2']/label" value="ADDRESS2"/><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']/input[@bind='advise']/label" value="advise"/><text xpath="xforms/group[@id='1']/input[@bind='past_medical_history']/label" value="past medical history"/><text xpath="xforms/group[@id='1']/input[@bind='presenting_complains']/label" value="presenting complains"/><text xpath="xforms/group[@id='1']/input[@bind='weight_kg']/label" value="WEIGHT (KG)"/><text xpath="xforms/group[@id='1']/input[@bind='weight_kg']/hint" value="Patient's weight in kilograms."/><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."/><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."/><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']/group[@id='patient/patient_relative']/label" value="RELATIONSHIPS"/><text xpath="xforms/group[@id='1']/group[@id='patient/patient_relative']/hint" value="Relationships that this patient has."/><text xpath="xforms/group[@id='1']/group[@id='patient/patient_relative']/repeat/input[@bind='patient_relative.person']/label" value="RELATIVE"/><text xpath="xforms/group[@id='1']/group[@id='patient/patient_relative']/repeat/select1[@bind='patient_relative.relationship']/label" value="RELATIONSHIP"/><text xpath="xforms/group[@id='1']/group[@id='patient/patient_relative']/repeat/select1[@bind='patient_relative.relationship']/item[@id='1A']/label" value="is Doctor [1]"/><text xpath="xforms/group[@id='1']/group[@id='patient/patient_relative']/repeat/select1[@bind='patient_relative.relationship']/item[@id='1B']/label" value="is Patient [1]"/><text xpath="xforms/group[@id='1']/group[@id='patient/patient_relative']/repeat/select1[@bind='patient_relative.relationship']/item[@id='2A']/label" value="is Sibling [2]"/><text xpath="xforms/group[@id='1']/group[@id='patient/patient_relative']/repeat/select1[@bind='patient_relative.relationship']/item[@id='3A']/label" value="is Parent [3]"/><text xpath="xforms/group[@id='1']/group[@id='patient/patient_relative']/repeat/select1[@bind='patient_relative.relationship']/item[@id='3B']/label" value="is Child [3]"/><text xpath="xforms/group[@id='1']/group[@id='patient/patient_relative']/repeat/select1[@bind='patient_relative.relationship']/item[@id='4A']/label" value="is Aunt/Uncle [4]"/><text xpath="xforms/group[@id='1']/group[@id='patient/patient_relative']/repeat/select1[@bind='patient_relative.relationship']/item[@id='4B']/label" value="is Niece/Nephew [4]"/><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='weight_kg'][@message]" value="value should be between 0.0 and 250.0 inclusive"/></xform><Form id="19"><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.birthdate' and @WidgetType='DatePicker'][@HelpText]" value="BIRTHDATE"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@Top]" value="20px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate_estimated' and @WidgetType='Label'][@Text]" value="BIRTHDATE ESTIMATED"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate_estimated' and @WidgetType='Label'][@HelpText]" value="BIRTHDATE ESTIMATED"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate_estimated' and @WidgetType='Label'][@Top]" value="60px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate_estimated' and @WidgetType='Label'][@Left]" value="51px"/><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="100px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.family_name' and @WidgetType='Label'][@Left]" value="132px"/><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="100px"/><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.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="140px"/><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="140px"/><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="180px"/><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="180px"/><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="220px"/><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="220px"/><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="260px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='Label'][@Left]" value="211px"/><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="260px"/><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='patient/patient.tribe' and @WidgetType='Label'][@Text]" value="TRIBE"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.tribe' and @WidgetType='Label'][@HelpText]" value="TRIBE"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.tribe' and @WidgetType='Label'][@Top]" value="300px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.tribe' and @WidgetType='Label'][@Left]" value="193px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.tribe' and @WidgetType='TextBox'][@HelpText]" value="TRIBE"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.tribe' and @WidgetType='TextBox'][@Top]" value="300px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.tribe' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.tribe' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address1' and @WidgetType='Label'][@Text]" value="ADDRESS1"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address1' and @WidgetType='Label'][@HelpText]" value="ADDRESS1"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address1' and @WidgetType='Label'][@Top]" value="340px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address1' and @WidgetType='Label'][@Left]" value="156px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address1' and @WidgetType='TextBox'][@HelpText]" value="ADDRESS1"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address1' and @WidgetType='TextBox'][@Top]" value="340px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address1' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address1' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address2' and @WidgetType='Label'][@Text]" value="ADDRESS2"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address2' and @WidgetType='Label'][@HelpText]" value="ADDRESS2"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address2' and @WidgetType='Label'][@Top]" value="380px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address2' and @WidgetType='Label'][@Left]" value="156px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address2' and @WidgetType='TextBox'][@HelpText]" value="ADDRESS2"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address2' and @WidgetType='TextBox'][@Top]" value="380px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address2' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_address.address2' 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="420px"/><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="420px"/><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="460px"/><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='ListBox'][@HelpText]" value="LOCATION ID"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='ListBox'][@Top]" value="460px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='ListBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='ListBox'][@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="500px"/><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='ListBox'][@HelpText]" value="PROVIDER ID"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='ListBox'][@Top]" value="500px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='ListBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='ListBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/advise/value' and @WidgetType='Label'][@Text]" value="advise"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/advise/value' and @WidgetType='Label'][@HelpText]" value="advise"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/advise/value' and @WidgetType='Label'][@Top]" value="540px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/advise/value' and @WidgetType='Label'][@Left]" value="189px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/advise/value' and @WidgetType='TextBox'][@HelpText]" value="advise"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/advise/value' and @WidgetType='TextBox'][@Top]" value="540px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/advise/value' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/advise/value' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/past_medical_history/value' and @WidgetType='Label'][@Text]" value="past medical history"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/past_medical_history/value' and @WidgetType='Label'][@HelpText]" value="past medical history"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/past_medical_history/value' and @WidgetType='Label'][@Top]" value="580px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/past_medical_history/value' and @WidgetType='Label'][@Left]" value="75px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/past_medical_history/value' and @WidgetType='TextBox'][@HelpText]" value="past medical history"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/past_medical_history/value' and @WidgetType='TextBox'][@Top]" value="580px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/past_medical_history/value' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/past_medical_history/value' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/presenting_complains/value' and @WidgetType='Label'][@Text]" value="presenting complains"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/presenting_complains/value' and @WidgetType='Label'][@HelpText]" value="presenting complains"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/presenting_complains/value' and @WidgetType='Label'][@Top]" value="620px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/presenting_complains/value' and @WidgetType='Label'][@Left]" value="67px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/presenting_complains/value' and @WidgetType='TextBox'][@HelpText]" value="presenting complains"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/presenting_complains/value' and @WidgetType='TextBox'][@Top]" value="620px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/presenting_complains/value' and @WidgetType='TextBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/presenting_complains/value' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/weight_kg/value' and @WidgetType='Label'][@Text]" value="WEIGHT (KG)"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/weight_kg/value' and @WidgetType='Label'][@HelpText]" value="WEIGHT (KG)"/><text 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xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox'][@HelpText]" value="Diagnosis or problem noted on a patient encounter."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox'][@Top]" value="750px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox'][@Left]" value="20px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox'][@Width]" value="265px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@Text]" value="Add New"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@HelpText]" value="addnew"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@Top]" value="55px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@Left]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@Width]" value="70px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox']/Item[@Binding='problem_list/problem_added/value' and @WidgetType='TextBox'][@HelpText]" value="problem_added value"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox']/Item[@Binding='problem_list/problem_added/value' and @WidgetType='TextBox'][@Top]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox']/Item[@Binding='problem_list/problem_added/value' and @WidgetType='TextBox'][@Left]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_added' and @WidgetType='GroupBox']/Item[@Binding='problem_list/problem_added/value' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='Label'][@Text]" value="PROBLEM RESOLVED"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='Label'][@HelpText]" value="PROBLEM RESOLVED"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='Label'][@Top]" value="880px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='Label'][@Left]" value="20px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved/value' and @WidgetType='Label'][@Text]" value="problem_resolved value"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved/value' and @WidgetType='Label'][@HelpText]" value="problem_resolved value"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved/value' and @WidgetType='Label'][@Top]" value="905px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved/value' and @WidgetType='Label'][@Left]" value="35px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox'][@HelpText]" value="Diagnosis or problem noted on a patient encounter as being resolved."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox'][@Top]" value="930px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox'][@Left]" value="20px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox'][@Width]" value="265px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@Text]" value="Add New"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@HelpText]" value="addnew"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@Top]" value="55px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@Left]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@Width]" value="70px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox']/Item[@Binding='problem_list/problem_resolved/value' and @WidgetType='TextBox'][@HelpText]" value="problem_resolved value"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox']/Item[@Binding='problem_list/problem_resolved/value' and @WidgetType='TextBox'][@Top]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox']/Item[@Binding='problem_list/problem_resolved/value' and @WidgetType='TextBox'][@Left]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='problem_list/problem_resolved' and @WidgetType='GroupBox']/Item[@Binding='problem_list/problem_resolved/value' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='Label'][@Text]" value="RELATIONSHIPS"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='Label'][@HelpText]" value="RELATIONSHIPS"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='Label'][@Top]" value="1060px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='Label'][@Left]" value="20px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative/patient_relative.person' and @WidgetType='Label'][@Text]" value="RELATIVE"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative/patient_relative.person' and @WidgetType='Label'][@HelpText]" value="RELATIVE"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative/patient_relative.person' and @WidgetType='Label'][@Top]" value="1085px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative/patient_relative.person' and @WidgetType='Label'][@Left]" value="35px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative/patient_relative.relationship' and @WidgetType='Label'][@Text]" value="RELATIONSHIP"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative/patient_relative.relationship' and @WidgetType='Label'][@HelpText]" value="RELATIONSHIP"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative/patient_relative.relationship' and @WidgetType='Label'][@Top]" value="1085px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative/patient_relative.relationship' and @WidgetType='Label'][@Left]" value="245px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox'][@HelpText]" value="Relationships that this patient has."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox'][@Top]" value="1110px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox'][@Left]" value="20px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox'][@Width]" value="425px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@Text]" value="Add New"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@HelpText]" value="addnew"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@Top]" value="55px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@Left]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='addnew' and @WidgetType='Button'][@Width]" value="70px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='patient/patient_relative/patient_relative.person' and @WidgetType='TextBox'][@HelpText]" value="RELATIVE"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='patient/patient_relative/patient_relative.person' and @WidgetType='TextBox'][@Top]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='patient/patient_relative/patient_relative.person' and @WidgetType='TextBox'][@Left]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='patient/patient_relative/patient_relative.person' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='patient/patient_relative/patient_relative.relationship' and @WidgetType='ListBox'][@HelpText]" value="RELATIONSHIP"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='patient/patient_relative/patient_relative.relationship' and @WidgetType='ListBox'][@Top]" value="10px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='patient/patient_relative/patient_relative.relationship' and @WidgetType='ListBox'][@Left]" value="215px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient_relative' and @WidgetType='GroupBox']/Item[@Binding='patient/patient_relative/patient_relative.relationship' and @WidgetType='ListBox'][@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="1250px"/><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="Close"/><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="1250px"/><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.birthdate_estimated' and @WidgetType='ListBox'][@HelpText]" value="BIRTHDATE ESTIMATED"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate_estimated' and @WidgetType='ListBox'][@Top]" value="60px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate_estimated' and @WidgetType='ListBox'][@Left]" value="247px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.birthdate_estimated' and @WidgetType='ListBox'][@Width]" value="200px"/></Form></LanguageText></Language></PurcForm>
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