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jmkumbo

Drug order form

jmkumbo
May 16th, 2018
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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="15" name="Drug order form" version="1.1" uuid="2ee170a5-b1c9-44ac-82ce-2f8cbaa3be25" xmlns:openmrs="formentry.infopath_server_url cannot be empty/moduleServlet/formentry/forms/schema/15-1" 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_relative>
  21. <patient_relative.person/>
  22. <patient_relative.relationship/>
  23. </patient_relative>
  24. </patient>
  25. <encounter>
  26. <encounter.encounter_datetime openmrs_table="encounter" openmrs_attribute="encounter_datetime">'now()'</encounter.encounter_datetime>
  27. <encounter.location_id openmrs_table="encounter" openmrs_attribute="location_id" xsi:nil="true">1</encounter.location_id>
  28. <encounter.provider_id openmrs_table="encounter" openmrs_attribute="provider_id" xsi:nil="true" provider_id_type="PROVIDER.ID">3</encounter.provider_id>
  29. </encounter>
  30. <obs openmrs_concept="3^ANEMIA^99DCT" openmrs_datatype="ZZ">
  31. <tb_presc_other openmrs_concept="161886^TB_PRESC_OTHER^99DCT" openmrs_datatype="ST">
  32. <date xsi:nil="true"/>
  33. <time xsi:nil="true"/>
  34. <value xsi:nil="true"/>
  35. </tb_presc_other>
  36. <arv_other openmrs_concept="161248^ARV_OTHER^99DCT" openmrs_datatype="ST">
  37. <date xsi:nil="true"/>
  38. <time xsi:nil="true"/>
  39. <value xsi:nil="true"/>
  40. </arv_other>
  41. <art_dose openmrs_concept="161632^ART_DOSE^99DCT" openmrs_datatype="ST">
  42. <date xsi:nil="true"/>
  43. <time xsi:nil="true"/>
  44. <value xsi:nil="true"/>
  45. </art_dose>
  46. <art_dose_freq openmrs_concept="161550^ART_DOSE_FREQ^99DCT" openmrs_datatype="CWE" multiple="0">
  47. <date xsi:nil="true"/>
  48. <time xsi:nil="true"/>
  49. <value xsi:nil="true"/>
  50. </art_dose_freq>
  51. <art_presc_lngth openmrs_concept="161551^Length of ART prescription:^99DCT" openmrs_datatype="CWE" multiple="0">
  52. <date xsi:nil="true"/>
  53. <time xsi:nil="true"/>
  54. <value xsi:nil="true"/>
  55. </art_presc_lngth>
  56. <art_presc_oth openmrs_concept="161552^ART_PRESC_OTH^99DCT" openmrs_datatype="ST">
  57. <date xsi:nil="true"/>
  58. <time xsi:nil="true"/>
  59. <value xsi:nil="true"/>
  60. </art_presc_oth>
  61. <cotrimox openmrs_concept="161803^COTRIMOX^99DCT" openmrs_datatype="CWE" multiple="0">
  62. <date xsi:nil="true"/>
  63. <time xsi:nil="true"/>
  64. <value xsi:nil="true"/>
  65. </cotrimox>
  66. <cot_presc_lngth openmrs_concept="161553^Length of Cotrimoxazole prescription:^99DCT" openmrs_datatype="CWE" multiple="0">
  67. <date xsi:nil="true"/>
  68. <time xsi:nil="true"/>
  69. <value xsi:nil="true"/>
  70. </cot_presc_lngth>
  71. <cot_presc_other openmrs_concept="161554^COT_PRESC_OTHER^99DCT" openmrs_datatype="ST">
  72. <date xsi:nil="true"/>
  73. <time xsi:nil="true"/>
  74. <value xsi:nil="true"/>
  75. </cot_presc_other>
  76. <ipt openmrs_concept="161253^IPT^99DCT" openmrs_datatype="CWE" multiple="0">
  77. <date xsi:nil="true"/>
  78. <time xsi:nil="true"/>
  79. <value xsi:nil="true"/>
  80. </ipt>
  81. <ipt_presc_lngth openmrs_concept="161555^Length of IPT prescription:^99DCT" openmrs_datatype="CWE" multiple="0">
  82. <date xsi:nil="true"/>
  83. <time xsi:nil="true"/>
  84. <value xsi:nil="true"/>
  85. </ipt_presc_lngth>
  86. <ipt_presc_oth openmrs_concept="161556^IPT_PRESC_OTH^99DCT" openmrs_datatype="ST">
  87. <date xsi:nil="true"/>
  88. <time xsi:nil="true"/>
  89. <value xsi:nil="true"/>
  90. </ipt_presc_oth>
  91. <fluco openmrs_concept="161267^FLUCO^99DCT" openmrs_datatype="CWE" multiple="0">
  92. <date xsi:nil="true"/>
  93. <time xsi:nil="true"/>
  94. <value xsi:nil="true"/>
  95. </fluco>
  96. <fluco_presc_lngth openmrs_concept="161557^Length of Fluconazole prescription:^99DCT" openmrs_datatype="CWE" multiple="0">
  97. <date xsi:nil="true"/>
  98. <time xsi:nil="true"/>
  99. <value xsi:nil="true"/>
  100. </fluco_presc_lngth>
  101. <fluco_presc_oth openmrs_concept="161558^FLUCO_PRESC_OTH^99DCT" openmrs_datatype="ST">
  102. <date xsi:nil="true"/>
  103. <time xsi:nil="true"/>
  104. <value xsi:nil="true"/>
  105. </fluco_presc_oth>
  106. <anti_tb_med openmrs_concept="161559^ANTI_TB_MED^99DCT" openmrs_datatype="CWE" multiple="0">
  107. <date xsi:nil="true"/>
  108. <time xsi:nil="true"/>
  109. <value xsi:nil="true"/>
  110. </anti_tb_med>
  111. <anti_tb openmrs_concept="161280^ANTI_TB^99DCT" openmrs_datatype="CWE" multiple="0">
  112. <date xsi:nil="true"/>
  113. <time xsi:nil="true"/>
  114. <value xsi:nil="true"/>
  115. </anti_tb>
  116. <tb_restartdt openmrs_concept="161804^TB_RESTARTDT^99DCT" openmrs_datatype="DT">
  117. <date xsi:nil="true"/>
  118. <time xsi:nil="true"/>
  119. <value xsi:nil="true"/>
  120. </tb_restartdt>
  121. <tb_startdt openmrs_concept="161289^TB_STARTDT^99DCT" openmrs_datatype="ST">
  122. <date xsi:nil="true"/>
  123. <time xsi:nil="true"/>
  124. <value xsi:nil="true"/>
  125. </tb_startdt>
  126. <tb_stopdt openmrs_concept="161293^TB_STOPDT^99DCT" openmrs_datatype="ST">
  127. <date xsi:nil="true"/>
  128. <time xsi:nil="true"/>
  129. <value xsi:nil="true"/>
  130. </tb_stopdt>
  131. <tb_presc_lngth openmrs_concept="161560^Length of Anti-TB prescription:^99DCT" openmrs_datatype="CWE" multiple="0">
  132. <date xsi:nil="true"/>
  133. <time xsi:nil="true"/>
  134. <value xsi:nil="true"/>
  135. </tb_presc_lngth>
  136. <_2nd_line1_spec openmrs_concept="161561^2ND_LINE1_SPEC^99DCT" openmrs_datatype="ST">
  137. <date xsi:nil="true"/>
  138. <time xsi:nil="true"/>
  139. <value xsi:nil="true"/>
  140. </_2nd_line1_spec>
  141. <_2nd_line1 openmrs_concept="161562^2ND_LINE1^99DCT" openmrs_datatype="CWE" multiple="0">
  142. <date xsi:nil="true"/>
  143. <time xsi:nil="true"/>
  144. <value xsi:nil="true"/>
  145. </_2nd_line1>
  146. <_2nd_line1_presc openmrs_concept="161563^2ND_LINE1_PRESC^99DCT" openmrs_datatype="NM">
  147. <date xsi:nil="true"/>
  148. <time xsi:nil="true"/>
  149. <value xsi:nil="true"/>
  150. </_2nd_line1_presc>
  151. <_2nd_line4_spec openmrs_concept="161570^2ND_LINE4_SPEC^99DCT" openmrs_datatype="ST">
  152. <date xsi:nil="true"/>
  153. <time xsi:nil="true"/>
  154. <value xsi:nil="true"/>
  155. </_2nd_line4_spec>
  156. <_2nd_line4_dose openmrs_concept="161877^2ND_LINE4_DOSE^99DCT" openmrs_datatype="NM">
  157. <date xsi:nil="true"/>
  158. <time xsi:nil="true"/>
  159. <value xsi:nil="true"/>
  160. </_2nd_line4_dose>
  161. <_2nd_line41_presc openmrs_concept="161889^2ND_LINE41_PRESC^99DCT" openmrs_datatype="NM">
  162. <date xsi:nil="true"/>
  163. <time xsi:nil="true"/>
  164. <value xsi:nil="true"/>
  165. </_2nd_line41_presc>
  166. <_2nd_line41 openmrs_concept="161888^2ND_LINE41^99DCT" openmrs_datatype="CWE" multiple="0">
  167. <date xsi:nil="true"/>
  168. <time xsi:nil="true"/>
  169. <value xsi:nil="true"/>
  170. </_2nd_line41>
  171. <_2nd_line5_dose openmrs_concept="161878^2ND_LINE5_DOSE^99DCT" openmrs_datatype="NM">
  172. <date xsi:nil="true"/>
  173. <time xsi:nil="true"/>
  174. <value xsi:nil="true"/>
  175. </_2nd_line5_dose>
  176. <_2nd_line5_spec openmrs_concept="161573^2ND_LINE5_SPEC^99DCT" openmrs_datatype="ST">
  177. <date xsi:nil="true"/>
  178. <time xsi:nil="true"/>
  179. <value xsi:nil="true"/>
  180. </_2nd_line5_spec>
  181. <_2nd_line51_presc openmrs_concept="161890^2ND_LINE51_PRESC^99DCT" openmrs_datatype="NM">
  182. <date xsi:nil="true"/>
  183. <time xsi:nil="true"/>
  184. <value xsi:nil="true"/>
  185. </_2nd_line51_presc>
  186. <_2nd_line5 openmrs_concept="161574^2ND_LINE5^99DCT" openmrs_datatype="CWE" multiple="0">
  187. <date xsi:nil="true"/>
  188. <time xsi:nil="true"/>
  189. <value xsi:nil="true"/>
  190. </_2nd_line5>
  191. <_2nd_line2_spec openmrs_concept="161564^2ND_LINE2_SPEC^99DCT" openmrs_datatype="ST">
  192. <date xsi:nil="true"/>
  193. <time xsi:nil="true"/>
  194. <value xsi:nil="true"/>
  195. </_2nd_line2_spec>
  196. <_2nd_line2 openmrs_concept="161565^2ND_LINE2^99DCT" openmrs_datatype="CWE" multiple="0">
  197. <date xsi:nil="true"/>
  198. <time xsi:nil="true"/>
  199. <value xsi:nil="true"/>
  200. </_2nd_line2>
  201. <_2nd_line2_presc openmrs_concept="161566^2ND_LINE2_PRESC^99DCT" openmrs_datatype="NM">
  202. <date xsi:nil="true"/>
  203. <time xsi:nil="true"/>
  204. <value xsi:nil="true"/>
  205. </_2nd_line2_presc>
  206. <cotrimox_dosage openmrs_concept="161887^COTRIMOX_DOSAGE^99DCT" openmrs_datatype="ST">
  207. <date xsi:nil="true"/>
  208. <time xsi:nil="true"/>
  209. <value xsi:nil="true"/>
  210. </cotrimox_dosage>
  211. <_2nd_line3_spec openmrs_concept="161567^2ND_LINE3_SPEC^99DCT" openmrs_datatype="ST">
  212. <date xsi:nil="true"/>
  213. <time xsi:nil="true"/>
  214. <value xsi:nil="true"/>
  215. </_2nd_line3_spec>
  216. <_2nd_line3 openmrs_concept="161568^2ND_LINE3^99DCT" openmrs_datatype="CWE" multiple="0">
  217. <date xsi:nil="true"/>
  218. <time xsi:nil="true"/>
  219. <value xsi:nil="true"/>
  220. </_2nd_line3>
  221. <_2nd_line3_presc openmrs_concept="161569^2ND_LINE3_PRESC^99DCT" openmrs_datatype="NM">
  222. <date xsi:nil="true"/>
  223. <time xsi:nil="true"/>
  224. <value xsi:nil="true"/>
  225. </_2nd_line3_presc>
  226. <other_med1_spec openmrs_concept="161576^OTHER_MED1_SPEC^99DCT" openmrs_datatype="ST">
  227. <date xsi:nil="true"/>
  228. <time xsi:nil="true"/>
  229. <value xsi:nil="true"/>
  230. </other_med1_spec>
  231. <other_med1 openmrs_concept="161577^OTHER_MED1^99DCT" openmrs_datatype="CWE" multiple="0">
  232. <date xsi:nil="true"/>
  233. <time xsi:nil="true"/>
  234. <value xsi:nil="true"/>
  235. </other_med1>
  236. <oth1_presc_lngth openmrs_concept="161578^OTH1_PRESC_LNGTH^99DCT" openmrs_datatype="NM">
  237. <date xsi:nil="true"/>
  238. <time xsi:nil="true"/>
  239. <value xsi:nil="true"/>
  240. </oth1_presc_lngth>
  241. <other_med2_spec openmrs_concept="161579^OTHER_MED2_SPEC^99DCT" openmrs_datatype="ST">
  242. <date xsi:nil="true"/>
  243. <time xsi:nil="true"/>
  244. <value xsi:nil="true"/>
  245. </other_med2_spec>
  246. <other_med2 openmrs_concept="161580^OTHER_MED2^99DCT" openmrs_datatype="CWE" multiple="0">
  247. <date xsi:nil="true"/>
  248. <time xsi:nil="true"/>
  249. <value xsi:nil="true"/>
  250. </other_med2>
  251. <oth2_presc_lngth openmrs_concept="161581^OTH2_PRESC_LNGTH^99DCT" openmrs_datatype="NM">
  252. <date xsi:nil="true"/>
  253. <time xsi:nil="true"/>
  254. <value xsi:nil="true"/>
  255. </oth2_presc_lngth>
  256. <other_med3_spec openmrs_concept="161582^OTHER_MED3_SPEC^99DCT" openmrs_datatype="ST">
  257. <date xsi:nil="true"/>
  258. <time xsi:nil="true"/>
  259. <value xsi:nil="true"/>
  260. </other_med3_spec>
  261. <other_med3 openmrs_concept="161583^OTHER_MED3^99DCT" openmrs_datatype="CWE" multiple="0">
  262. <date xsi:nil="true"/>
  263. <time xsi:nil="true"/>
  264. <value xsi:nil="true"/>
  265. </other_med3>
  266. <oth3_presc_lngth openmrs_concept="161584^OTH3_PRESC_LNGTH^99DCT" openmrs_datatype="NM">
  267. <date xsi:nil="true"/>
  268. <time xsi:nil="true"/>
  269. <value xsi:nil="true"/>
  270. </oth3_presc_lngth>
  271. <other_med4_spec openmrs_concept="161585^OTHER_MED4_SPEC^99DCT" openmrs_datatype="ST">
  272. <date xsi:nil="true"/>
  273. <time xsi:nil="true"/>
  274. <value xsi:nil="true"/>
  275. </other_med4_spec>
  276. <other_med4 openmrs_concept="161586^OTHER_MED4^99DCT" openmrs_datatype="CWE" multiple="0">
  277. <date xsi:nil="true"/>
  278. <time xsi:nil="true"/>
  279. <value xsi:nil="true"/>
  280. </other_med4>
  281. <oth4_presc_lngth openmrs_concept="161587^OTH4_PRESC_LNGTH^99DCT" openmrs_datatype="NM">
  282. <date xsi:nil="true"/>
  283. <time xsi:nil="true"/>
  284. <value xsi:nil="true"/>
  285. </oth4_presc_lngth>
  286. <other_med5_spec openmrs_concept="161588^OTHER_MED5_SPEC^99DCT" openmrs_datatype="ST">
  287. <date xsi:nil="true"/>
  288. <time xsi:nil="true"/>
  289. <value xsi:nil="true"/>
  290. </other_med5_spec>
  291. <other_med5 openmrs_concept="161589^OTHER_MED5^99DCT" openmrs_datatype="CWE" multiple="0">
  292. <date xsi:nil="true"/>
  293. <time xsi:nil="true"/>
  294. <value xsi:nil="true"/>
  295. </other_med5>
  296. <oth5_presc_lngth openmrs_concept="161590^OTH5_PRESC_LNGTH^99DCT" openmrs_datatype="NM">
  297. <date xsi:nil="true"/>
  298. <time xsi:nil="true"/>
  299. <value xsi:nil="true"/>
  300. </oth5_presc_lngth>
  301. <art_disch openmrs_concept="161547^ART_DISCH^99DCT" openmrs_datatype="CWE" multiple="0">
  302. <date xsi:nil="true"/>
  303. <time xsi:nil="true"/>
  304. <value xsi:nil="true"/>
  305. </art_disch>
  306. <_2nd_line1_dose openmrs_concept="161874^2ND_LINE1_DOSE^99DCT" openmrs_datatype="NM">
  307. <date xsi:nil="true"/>
  308. <time xsi:nil="true"/>
  309. <value xsi:nil="true"/>
  310. </_2nd_line1_dose>
  311. <_2nd_line2_dose openmrs_concept="161875^2ND_LINE2_DOSE^99DCT" openmrs_datatype="NM">
  312. <date xsi:nil="true"/>
  313. <time xsi:nil="true"/>
  314. <value xsi:nil="true"/>
  315. </_2nd_line2_dose>
  316. <_2nd_line3_dose openmrs_concept="161876^2ND_LINE3_DOSE^99DCT" openmrs_datatype="NM">
  317. <date xsi:nil="true"/>
  318. <time xsi:nil="true"/>
  319. <value xsi:nil="true"/>
  320. </_2nd_line3_dose>
  321. <date_presc openmrs_concept="161898^Date of prescription:^99DCT" openmrs_datatype="DT">
  322. <date xsi:nil="true"/>
  323. <time xsi:nil="true"/>
  324. <value xsi:nil="true">'today()'</value>
  325. </date_presc>
  326. <comments_drug openmrs_concept="161900^COMMENTS_DRUG^99DCT" openmrs_datatype="ST">
  327. <date xsi:nil="true"/>
  328. <time xsi:nil="true"/>
  329. <value xsi:nil="true"/>
  330. </comments_drug>
  331. <art_presc_start_date openmrs_concept="162080^ART_PRESC_START_DATE^99DCT" openmrs_datatype="DT">
  332. <date xsi:nil="true"/>
  333. <time xsi:nil="true"/>
  334. <value xsi:nil="true"/>
  335. </art_presc_start_date>
  336. <art_presc_end_date openmrs_concept="162081^ART_PRESC_END_DATE^99DCT" openmrs_datatype="DT">
  337. <date xsi:nil="true"/>
  338. <time xsi:nil="true"/>
  339. <value xsi:nil="true"/>
  340. </art_presc_end_date>
  341. <art_presc_lngth_calculated openmrs_concept="162082^ART_PRESC_LNGTH_CALCULATED^99DCT" openmrs_datatype="NM">
  342. <date xsi:nil="true"/>
  343. <time xsi:nil="true"/>
  344. <value xsi:nil="true"/>
  345. </art_presc_lngth_calculated>
  346. <cot_presc_start_date openmrs_concept="162083^COT_PRESC_START_DATE^99DCT" openmrs_datatype="DT">
  347. <date xsi:nil="true"/>
  348. <time xsi:nil="true"/>
  349. <value xsi:nil="true"/>
  350. </cot_presc_start_date>
  351. <cot_presc_end_date openmrs_concept="162084^COT_PRESC_END_DATE^99DCT" openmrs_datatype="DT">
  352. <date xsi:nil="true"/>
  353. <time xsi:nil="true"/>
  354. <value xsi:nil="true"/>
  355. </cot_presc_end_date>
  356. <cot_presc_lngth_calculated openmrs_concept="162085^COT_PRESC_LNGTH_CALCULATED^99DCT" openmrs_datatype="NM">
  357. <date xsi:nil="true"/>
  358. <time xsi:nil="true"/>
  359. <value xsi:nil="true"/>
  360. </cot_presc_lngth_calculated>
  361. <ipt_presc_start_date openmrs_concept="162086^IPT_PRESC_START_DATE^99DCT" openmrs_datatype="DT">
  362. <date xsi:nil="true"/>
  363. <time xsi:nil="true"/>
  364. <value xsi:nil="true"/>
  365. </ipt_presc_start_date>
  366. <ipt_presc_end_date openmrs_concept="162087^IPT_PRESC_END_DATE^99DCT" openmrs_datatype="DT">
  367. <date xsi:nil="true"/>
  368. <time xsi:nil="true"/>
  369. <value xsi:nil="true"/>
  370. </ipt_presc_end_date>
  371. <ipt_presc_lngth_calculated openmrs_concept="162088^IPT_PRESC_LNGTH_CALCULATED^99DCT" openmrs_datatype="NM">
  372. <date xsi:nil="true"/>
  373. <time xsi:nil="true"/>
  374. <value xsi:nil="true"/>
  375. </ipt_presc_lngth_calculated>
  376. <tb_presc_start_date openmrs_concept="162089^TB_PRESC_START_DATE^99DCT" openmrs_datatype="DT">
  377. <date xsi:nil="true"/>
  378. <time xsi:nil="true"/>
  379. <value xsi:nil="true"/>
  380. </tb_presc_start_date>
  381. <tb_presc_end_date openmrs_concept="162090^TB_PRESC_END_DATE^99DCT" openmrs_datatype="DT">
  382. <date xsi:nil="true"/>
  383. <time xsi:nil="true"/>
  384. <value xsi:nil="true"/>
  385. </tb_presc_end_date>
  386. <tb_presc_lngth_calculated openmrs_concept="162091^TB_PRESC_LNGTH_CALCULATED^99DCT" openmrs_datatype="NM">
  387. <date xsi:nil="true"/>
  388. <time xsi:nil="true"/>
  389. <value xsi:nil="true"/>
  390. </tb_presc_lngth_calculated>
  391. <tb_startdate openmrs_concept="162092^TB_STARTDATE^99DCT" openmrs_datatype="DT">
  392. <date xsi:nil="true"/>
  393. <time xsi:nil="true"/>
  394. <value xsi:nil="true"/>
  395. </tb_startdate>
  396. </obs>
  397. <obs><antitb_dose/><value/></obs></form>
  398. </xf:instance>
  399. <xf:bind id="patient.birthdate" nodeset="/form/patient/patient.birthdate" type="xsd:date" locked="true()" jr:preload="patient" jr:preloadParams="birthDate"/>
  400. <xf:bind id="patient.family_name" nodeset="/form/patient/patient.family_name" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="familyName"/>
  401. <xf:bind id="patient.given_name" nodeset="/form/patient/patient.given_name" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="givenName"/>
  402. <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()"/>
  403. <xf:bind id="patient.middle_name" nodeset="/form/patient/patient.middle_name" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="middleName"/>
  404. <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()"/>
  405. <xf:bind id="patient.sex" nodeset="/form/patient/patient.sex" type="xsd:string" locked="true()" jr:preload="patient" jr:preloadParams="sex"/>
  406. <xf:bind id="encounter.encounter_datetime" nodeset="/form/encounter/encounter.encounter_datetime" type="xsd:dateTime" constraint=". &lt;= today()" message="" required="true()"/>
  407. <xf:bind id="encounter.location_id" nodeset="/form/encounter/encounter.location_id" type="xsd:string" readonly="true()" visible="false()"/>
  408. <xf:bind id="encounter.provider_id" nodeset="/form/encounter/encounter.provider_id" type="xsd:string" readonly="true()" visible="false()"/>
  409. <xf:bind id="arv_other" nodeset="/form/obs/arv_other/value" type="xsd:string" relevant="/form/obs/art_disch/value = '161176^1xother1stline^99DCT' or /form/obs/art_disch/value = '161195^2xother2ndline^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 50" message="Check the length of the enter value, is more than the required."/><xf:bind id="art_dose" nodeset="/form/obs/art_dose/value" type="xsd:string" relevant="/form/obs/art_disch/value != '' and /form/obs/art_disch/value != '1107^NONE^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 100" message="Check the length of the enter value, is more than the required."/><xf:bind id="art_dose_freq" nodeset="/form/obs/art_dose_freq/value" type="xsd:string" relevant="/form/obs/art_disch/value != '1107^NONE^99DCT' and /form/obs/art_disch/value != ''" action="enable" required="true()"/><xf:bind id="art_presc_lngth" nodeset="/form/obs/art_presc_lngth/value" type="xsd:string" relevant="/form/obs/art_disch/value != '1107^NONE^99DCT' and /form/obs/art_disch/value != ''" action="enable" required="true()"/><xf:bind id="art_presc_oth" nodeset="/form/obs/art_presc_oth/value" type="xsd:string" relevant="/form/obs/art_presc_lngth/value = '5622^OTHER NON-CODED^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 30" message="Check the length of the enter value, is more than the required."/><xf:bind id="cotrimox" nodeset="/form/obs/cotrimox/value" type="xsd:string" required="true()"/><xf:bind id="cot_presc_lngth" nodeset="/form/obs/cot_presc_lngth/value" type="xsd:string" relevant="/form/obs/cotrimox/value = '161120^start^99DCT' or /form/obs/cotrimox/value = '159835^Continue^99DCT' or /form/obs/cotrimox/value = '161124^restart^99DCT'" action="enable" required="true()"/><xf:bind id="cot_presc_other" nodeset="/form/obs/cot_presc_other/value" type="xsd:string" relevant="/form/obs/cot_presc_lngth/value = '5622^OTHER NON-CODED^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 30" message="Check the length of the enter value, is more than the required."/><xf:bind id="ipt" nodeset="/form/obs/ipt/value" type="xsd:string" required="true()"/><xf:bind id="ipt_presc_lngth" nodeset="/form/obs/ipt_presc_lngth/value" type="xsd:string" relevant="/form/obs/ipt/value = '161120^start^99DCT' or /form/obs/ipt/value = '159835^Continue^99DCT' or /form/obs/ipt/value = '161124^restart^99DCT'" action="enable" required="true()"/><xf:bind id="ipt_presc_oth" nodeset="/form/obs/ipt_presc_oth/value" type="xsd:string" relevant="/form/obs/ipt_presc_lngth/value = '5622^OTHER NON-CODED^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 30" message="Check the length of the enter value, is more than the required."/><xf:bind id="fluco" nodeset="/form/obs/fluco/value" type="xsd:string" required="true()"/><xf:bind id="fluco_presc_lngth" nodeset="/form/obs/fluco_presc_lngth/value" type="xsd:string" relevant="/form/obs/fluco/value = '161120^start^99DCT' or /form/obs/fluco/value = '159835^Continue^99DCT' or /form/obs/fluco/value = '161124^restart^99DCT'" action="enable" required="true()"/><xf:bind id="fluco_presc_oth" nodeset="/form/obs/fluco_presc_oth/value" type="xsd:string" relevant="/form/obs/fluco_presc_lngth/value = '5622^OTHER NON-CODED^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 30" message="Check the length of the enter value, is more than the required."/><xf:bind id="anti_tb_med" nodeset="/form/obs/anti_tb_med/value" type="xsd:string" required="true()"/><xf:bind id="anti_tb" nodeset="/form/obs/anti_tb/value" type="xsd:string" relevant="/form/obs/anti_tb_med/value != '1066^NO^99DCT' and /form/obs/anti_tb_med/value != '' and /form/obs/anti_tb_med/value != '161546^2ND line^99DCT'" action="enable" required="true()"/><xf:bind id="tb_startdt" nodeset="/form/obs/tb_startdt/value" type="xsd:date" relevant="/form/obs/anti_tb/value = '161120^start^99DCT' and /form/obs/anti_tb_med/value != '1066^NO^99DCT'" action="enable" required="true()"/><xf:bind id="tb_stopdt" nodeset="/form/obs/tb_stopdt/value" type="xsd:date" relevant="/form/obs/anti_tb/value = '161123^stop^99DCT'" action="enable" required="true()"/><xf:bind id="tb_restartdt" nodeset="/form/obs/tb_restartdt/value" type="xsd:date" relevant="/form/obs/anti_tb/value = '161124^restart^99DCT'" action="enable" required="true()"/><xf:bind id="tb_presc_lngth" nodeset="/form/obs/tb_presc_lngth/value" type="xsd:string" relevant="/form/obs/anti_tb/value = '161120^start^99DCT' or /form/obs/anti_tb/value = '159835^Continue^99DCT' or /form/obs/anti_tb/value = '161124^restart^99DCT'" action="enable" required="true()"/><xf:bind id="_2nd_line1_spec" nodeset="/form/obs/_2nd_line1_spec/value" type="xsd:string" relevant="/form/obs/anti_tb_med/value = '161546^2ND line^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 50" message="Check the length of the enter value, is more than the required."/><xf:bind id="_2nd_line1_presc" nodeset="/form/obs/_2nd_line1_presc/value" type="xsd:int" relevant="/form/obs/_2nd_line1/value = '161120^start^99DCT' or /form/obs/_2nd_line1/value = '159835^Continue^99DCT' or /form/obs/_2nd_line1/value = '161124^restart^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 2" message="Data out of range"/><xf:bind id="_2nd_line2_spec" nodeset="/form/obs/_2nd_line2_spec/value" type="xsd:string" relevant="/form/obs/anti_tb_med/value = '161546^2ND line^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 50" message="Check the length of the enter value, is more than the required."/><xf:bind id="_2nd_line2" nodeset="/form/obs/_2nd_line2/value" type="xsd:string" relevant="/form/obs/_2nd_line2_spec/value != ''" action="enable" required="true()"/><xf:bind id="_2nd_line2_presc" nodeset="/form/obs/_2nd_line2_presc/value" type="xsd:int" relevant="/form/obs/_2nd_line2/value = '161120^start^99DCT' or /form/obs/_2nd_line2/value = '159835^Continue^99DCT' or /form/obs/_2nd_line2/value = '161124^restart^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 2" message="Data out of range"/><xf:bind id="_2nd_line3_spec" nodeset="/form/obs/_2nd_line3_spec/value" type="xsd:string" relevant="/form/obs/anti_tb_med/value = '161546^2ND line^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 50" message="Check the length of the enter value, is more than the required."/><xf:bind id="_2nd_line3" nodeset="/form/obs/_2nd_line3/value" type="xsd:string" relevant="/form/obs/_2nd_line3_spec/value != ''" action="enable" required="true()"/><xf:bind id="_2nd_line3_presc" nodeset="/form/obs/_2nd_line3_presc/value" type="xsd:int" relevant="/form/obs/_2nd_line3/value = '161120^start^99DCT' or /form/obs/_2nd_line3/value = '159835^Continue^99DCT' or /form/obs/_2nd_line3/value = '161124^restart^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 2" message="Data out of range"/><xf:bind id="other_med1_spec" nodeset="/form/obs/other_med1_spec/value" type="xsd:string" constraint="length(.) &lt;= 50" message="Check the length of the enter value, is more than the required."/><xf:bind id="other_med1" nodeset="/form/obs/other_med1/value" type="xsd:string" relevant="/form/obs/other_med1_spec/value != ''" action="enable" required="true()"/><xf:bind id="oth1_presc_lngth" nodeset="/form/obs/oth1_presc_lngth/value" type="xsd:int" relevant="/form/obs/other_med1/value = '161120^start^99DCT' or /form/obs/other_med1/value = '159835^Continue^99DCT' or /form/obs/other_med1/value = '161124^restart^99DCT'" action="enable" required="true()" constraint=". &lt;= 365 and . &gt;= 1" message="Data out of range"/><xf:bind id="other_med2_spec" nodeset="/form/obs/other_med2_spec/value" type="xsd:string" constraint="length(.) &lt;= 50" message="Check the length of the enter value, is more than the required."/><xf:bind id="other_med2" nodeset="/form/obs/other_med2/value" type="xsd:string" relevant="/form/obs/other_med2_spec/value != ''" action="enable" required="true()"/><xf:bind id="oth2_presc_lngth" nodeset="/form/obs/oth2_presc_lngth/value" type="xsd:int" relevant="/form/obs/other_med2/value = '161120^start^99DCT' or /form/obs/other_med2/value = '159835^Continue^99DCT' or /form/obs/other_med2/value = '161124^restart^99DCT'" action="enable" required="true()" constraint=". &lt;= 365 and . &gt;= 1" message="Dat a out of range please check"/><xf:bind id="other_med3_spec" nodeset="/form/obs/other_med3_spec/value" type="xsd:string" constraint="length(.) &lt;= 50" message="Check the length of the enter value, is more than the required."/><xf:bind id="other_med3" nodeset="/form/obs/other_med3/value" type="xsd:string" relevant="/form/obs/other_med3_spec/value != ''" action="enable" required="true()"/><xf:bind id="oth3_presc_lngth" nodeset="/form/obs/oth3_presc_lngth/value" type="xsd:int" relevant="/form/obs/other_med3/value = '161120^start^99DCT' or /form/obs/other_med3/value = '159835^Continue^99DCT' or /form/obs/other_med3/value = '161124^restart^99DCT'" action="enable" required="true()" constraint=". &lt;= 365 and . &gt;= 1" message="Data out of range, please check."/><xf:bind id="other_med4_spec" nodeset="/form/obs/other_med4_spec/value" type="xsd:string" constraint="length(.) &lt;= 50" message="Check the length of the enter value, is more than the required."/><xf:bind id="other_med4" nodeset="/form/obs/other_med4/value" type="xsd:string" relevant="/form/obs/other_med4_spec/value != ''" action="enable" required="true()"/><xf:bind id="oth4_presc_lngth" nodeset="/form/obs/oth4_presc_lngth/value" type="xsd:int" relevant="/form/obs/other_med4/value = '161120^start^99DCT' or /form/obs/other_med4/value = '159835^Continue^99DCT' or /form/obs/other_med4/value = '161124^restart^99DCT'" action="enable" required="true()" constraint=". &lt;= 365 and . &gt;= 1" message="Data out of range, please check."/><xf:bind id="other_med5_spec" nodeset="/form/obs/other_med5_spec/value" type="xsd:string" constraint="length(.) &lt;= 50" message="Check the length of the enter value, is more than the required."/><xf:bind id="other_med5" nodeset="/form/obs/other_med5/value" type="xsd:string" relevant="/form/obs/other_med5_spec/value != ''" action="enable" required="true()"/><xf:bind id="oth5_presc_lngth" nodeset="/form/obs/oth5_presc_lngth/value" type="xsd:int" relevant="/form/obs/other_med5/value = '161120^start^99DCT' or /form/obs/other_med5/value = '159835^Continue^99DCT' or /form/obs/other_med5/value = '161124^restart^99DCT'" action="enable" required="true()" constraint=". &lt;= 365 and . &gt;= 1" message="Data out of range, please check."/><xf:bind id="art_disch" nodeset="/form/obs/art_disch/value" type="xsd:string" required="true()"/><xf:bind id="_2nd_line1_dose" nodeset="/form/obs/_2nd_line1_dose/value" type="xsd:decimal" relevant="/form/obs/_2nd_line1_spec/value != ''" action="enable" required="true()" constraint="length(.) &lt;= 4" message="The length of the entered value is incorrect please check."/><xf:bind id="_2nd_line2_dose" nodeset="/form/obs/_2nd_line2_dose/value" type="xsd:decimal" relevant="/form/obs/_2nd_line2_spec/value != ''" action="enable" required="true()" constraint="length(.) &lt;= 4" message="The length of the entered value is incorrect please check."/><xf:bind id="_2nd_line3_dose" nodeset="/form/obs/_2nd_line3_dose/value" type="xsd:decimal" relevant="/form/obs/_2nd_line3_spec/value != ''" action="enable" required="true()" constraint="length(.) &lt;= 4" message="The length of the entered value is incorrect please check."/><xf:bind id="tb_presc_other" nodeset="/form/obs/tb_presc_other/value" type="xsd:string" relevant="/form/obs/tb_presc_lngth/value = '5622^OTHER NON-CODED^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 30" message=""/>
  410.  
  411.  
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  413.  
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  429.  
  430.  
  431. <xf:bind id="cotrimox_dosage" nodeset="/form/obs/cotrimox_dosage/value" type="xsd:string" relevant="/form/obs/cotrimox/value = '161120^start^99DCT' or /form/obs/cotrimox/value = '159835^Continue^99DCT' or /form/obs/cotrimox/value = '161124^restart^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 20" message=""/><xf:bind id="_2nd_line1" nodeset="/form/obs/_2nd_line1/value" type="xsd:string" relevant="/form/obs/_2nd_line1_spec/value != ''" action="enable" required="true()"/>
  432.  
  433. <xf:bind id="_2nd_line4_spec" nodeset="/form/obs/_2nd_line4_spec/value" type="xsd:string" relevant="/form/obs/anti_tb_med/value = '161546^2ND line^99DCT'" action="enable" required="true()" constraint="length(.) &lt;= 50" message=""/>
  434. <xf:bind id="_2nd_line4_dose" nodeset="/form/obs/_2nd_line4_dose/value" type="xsd:decimal" relevant="/form/obs/_2nd_line4_spec/value != ''" action="enable" required="true()" constraint="length(.) &lt;= 4" message=""/>
  435. <xf:bind id="_2nd_line41" nodeset="/form/obs/_2nd_line41/value" type="xsd:string" relevant="/form/obs/_2nd_line4_spec/value != ''" action="enable" required="true()"/><xf:bind id="_2nd_line41_presc" nodeset="/form/obs/_2nd_line41_presc/value" type="xsd:int" relevant="/form/obs/_2nd_line41/value != '161123^stop^99DCT' and /form/obs/_2nd_line41/value != '1267^COMPLETED^99DCT' and /form/obs/_2nd_line4_spec/value != ''" action="enable" required="true()" constraint="length(.) &lt;= 2" message=""/>
  436.  
  437. <xf:bind id="_2nd_line5_dose" nodeset="/form/obs/_2nd_line5_dose/value" type="xsd:decimal" relevant="/form/obs/_2nd_line5_spec/value != ''" action="enable" required="true()" constraint="length(.) &lt;= 4" message=""/>
  438. <xf:bind id="_2nd_line5_spec" nodeset="/form/obs/_2nd_line5_spec/value" type="xsd:string" relevant="/form/obs/anti_tb_med/value = '161546^2ND line^99DCT'" action="enable" required="true()"/>
  439. <xf:bind id="_2nd_line5" nodeset="/form/obs/_2nd_line5/value" type="xsd:string" relevant="/form/obs/_2nd_line5_spec/value != ''" action="enable" required="true()"/><xf:bind id="_2nd_line51_presc" nodeset="/form/obs/_2nd_line51_presc/value" type="xsd:int" relevant="/form/obs/_2nd_line5/value != '161123^stop^99DCT' and /form/obs/_2nd_line5/value != '1267^COMPLETED^99DCT' and /form/obs/_2nd_line5_spec/value != ''" action="enable" required="true()" constraint="length(.) &lt;= 2" message=""/>
  440.  
  441.  
  442.  
  443.  
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  446.  
  447.  
  448.  
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  460.  
  461.  
  462.  
  463.  
  464.  
  465.  
  466.  
  467. <xf:bind id="date_presc" nodeset="/form/obs/date_presc/value" type="xsd:date" required="true()"/>
  468. <xf:bind id="comments_drug" nodeset="/form/obs/comments_drug/value" type="xsd:string" constraint="length(.) &lt;= 300" message=""/>
  469. <xf:bind id="art_presc_start_date" nodeset="/form/obs/art_presc_start_date/value" type="xsd:date"/>
  470. <xf:bind id="art_presc_end_date" nodeset="/form/obs/art_presc_end_date/value" type="xsd:date"/>
  471. <xf:bind id="art_presc_lngth_calculated" nodeset="/form/obs/art_presc_lngth_calculated/value" type="xsd:decimal"/>
  472. <xf:bind id="cot_presc_start_date" nodeset="/form/obs/cot_presc_start_date/value" type="xsd:date"/>
  473. <xf:bind id="cot_presc_end_date" nodeset="/form/obs/cot_presc_end_date/value" type="xsd:date"/>
  474. <xf:bind id="cot_presc_lngth_calculated" nodeset="/form/obs/cot_presc_lngth_calculated/value" type="xsd:decimal"/>
  475. <xf:bind id="ipt_presc_start_date" nodeset="/form/obs/ipt_presc_start_date/value" type="xsd:date"/>
  476. <xf:bind id="ipt_presc_end_date" nodeset="/form/obs/ipt_presc_end_date/value" type="xsd:date"/>
  477. <xf:bind id="ipt_presc_lngth_calculated" nodeset="/form/obs/ipt_presc_lngth_calculated/value" type="xsd:decimal"/>
  478. <xf:bind id="tb_presc_start_date" nodeset="/form/obs/tb_presc_start_date/value" type="xsd:date"/>
  479. <xf:bind id="tb_presc_end_date" nodeset="/form/obs/tb_presc_end_date/value" type="xsd:date"/>
  480. <xf:bind id="tb_presc_lngth_calculated" nodeset="/form/obs/tb_presc_lngth_calculated/value" type="xsd:decimal" relevant="/form/obs/tb_presc_start_date/value != '' and /form/obs/tb_presc_end_date/value != ''" action="enable" required="true()" calculate="/form/obs/tb_presc_end_date/value-/form/obs/tb_presc_start_date/value"/>
  481. <xf:bind id="tb_startdate" nodeset="/form/obs/tb_startdate/value" type="xsd:date" relevant="/form/obs/anti_tb_med/value != '1066^NO^99DCT' and /form/obs/anti_tb/value = '161120^start^99DCT'" action="enable" required="true()"/>
  482. <xf:bind id="patient_relative" nodeset="/form/patient/patient_relative"/>
  483. <xf:bind id="patient_relative.person" nodeset="/form/patient/patient_relative/patient_relative.person" type="xsd:string"/>
  484. <xf:bind id="patient_relative.relationship" nodeset="/form/patient/patient_relative/patient_relative.relationship" type="xsd:string" relevant="/form/obs/anti_tb/value != '1267^COMPLETED^99DCT' and /form/obs/anti_tb/value != '161123^stop^99DCT' and /form/obs/anti_tb_med/value != '1066^NO^99DCT'" action="enable" required="true()"/>
  485. <xf:bind id="obs_antitb_dose_value" nodeset="/form/obs/antitb_dose/value" type="xsd:string"/></xf:model>
  486. <xf:group id="1">
  487. <xf:label>Page1</xf:label>
  488. <xf:input bind="patient.birthdate">
  489. <xf:label>Date of birth</xf:label>
  490. </xf:input>
  491. <xf:input bind="patient.family_name">
  492. <xf:label>Last name</xf:label>
  493. </xf:input>
  494. <xf:input bind="patient.given_name">
  495. <xf:label>First Name</xf:label>
  496. </xf:input>
  497. <xf:input bind="patient.medical_record_number">
  498. <xf:label>NACP number</xf:label>
  499. </xf:input>
  500. <xf:input bind="patient.middle_name">
  501. <xf:label>Middle name</xf:label>
  502. </xf:input>
  503. <xf:input bind="patient.patient_id">
  504. <xf:label>patient Id</xf:label>
  505. </xf:input>
  506. <xf:input bind="patient.sex">
  507. <xf:label>Sex</xf:label>
  508. </xf:input>
  509. <xf:input bind="encounter.encounter_datetime">
  510. <xf:label>ENCOUNTER DATETIME</xf:label>
  511. </xf:input>
  512. <xf:select1 bind="encounter.location_id">
  513. <xf:label>LOCATION ID</xf:label>
  514. <xf:item id="1">
  515. <xf:label>Unknown Location [1]</xf:label>
  516. <xf:value>1</xf:value>
  517. </xf:item>
  518. </xf:select1>
  519. <xf:select1 bind="encounter.provider_id">
  520. <xf:label>PROVIDER ID</xf:label>
  521. <xf:item>
  522. <xf:label>Claudio Zaugg [12]</xf:label>
  523. <xf:value>1</xf:value>
  524. </xf:item>
  525. <xf:item>
  526. <xf:label>Lucas Gervas Shayo [13]</xf:label>
  527. <xf:value>2</xf:value>
  528. </xf:item>
  529. <xf:item>
  530. <xf:label>Agata Correia Agata [3]</xf:label>
  531. <xf:value>4</xf:value>
  532. </xf:item>
  533. <xf:item>
  534. <xf:label>Maja Weisser</xf:label>
  535. <xf:value>5</xf:value>
  536. </xf:item>
  537. <xf:item>
  538. <xf:label>Herry Robert Mapesi</xf:label>
  539. <xf:value>6</xf:value>
  540. </xf:item>
  541. <xf:item>
  542. <xf:label>George Rocky Sikalengo</xf:label>
  543. <xf:value>7</xf:value>
  544. </xf:item>
  545. <xf:item>
  546. <xf:label>ANDREW KATENDE</xf:label>
  547. <xf:value>8</xf:value>
  548. </xf:item>
  549. <xf:item>
  550. <xf:label>Robert Christopher Ndege</xf:label>
  551. <xf:value>9</xf:value>
  552. </xf:item>
  553. <xf:item>
  554. <xf:label>Getrud Joseph Mollel</xf:label>
  555. <xf:value>10</xf:value>
  556. </xf:item>
  557. <xf:item>
  558. <xf:label>Ezekiel Luoga</xf:label>
  559. <xf:value>11</xf:value>
  560. </xf:item>
  561. <xf:item>
  562. <xf:label>Lilian Moshi</xf:label>
  563. <xf:value>12</xf:value>
  564. </xf:item>
  565. <xf:item>
  566. <xf:label>Vanesa Anton Vazquez</xf:label>
  567. <xf:value>13</xf:value>
  568. </xf:item>
  569. <xf:item>
  570. <xf:label>Rahel Bircher</xf:label>
  571. <xf:value>14</xf:value>
  572. </xf:item>
  573. <xf:item>
  574. <xf:label>Gidion Fue</xf:label>
  575. <xf:value>15</xf:value>
  576. </xf:item>
  577. <xf:item>
  578. <xf:label>Athuman Mtandanguo</xf:label>
  579. <xf:value>16</xf:value>
  580. </xf:item>
  581. <xf:item>
  582. <xf:label>Specioza Hwaya</xf:label>
  583. <xf:value>17</xf:value>
  584. </xf:item>
  585. <xf:item>
  586. <xf:label>Armon Arpagaus</xf:label>
  587. <xf:value>18</xf:value>
  588. </xf:item>
  589. <xf:item>
  590. <xf:label>Ngisi Peter Masawa</xf:label>
  591. <xf:value>19</xf:value>
  592. </xf:item>
  593. <xf:item>
  594. <xf:label>Anna Eichenberger</xf:label>
  595. <xf:value>20</xf:value>
  596. </xf:item>
  597. <xf:item>
  598. <xf:label>Felister Godson Kiwelu</xf:label>
  599. <xf:value>21</xf:value>
  600. </xf:item>
  601. <xf:item>
  602. <xf:label>Phamarcy CDCI</xf:label>
  603. <xf:value>22</xf:value>
  604. </xf:item>
  605. <xf:item>
  606. <xf:label>Pharmacy one Stop</xf:label>
  607. <xf:value>23</xf:value>
  608. </xf:item>
  609. <xf:item>
  610. <xf:label>Unknown Provider [UNKNOWN]</xf:label>
  611. <xf:value>24</xf:value>
  612. </xf:item>
  613. <xf:item>
  614. <xf:label>Herry Robert Mapesi [14]</xf:label>
  615. <xf:value>3</xf:value>
  616. </xf:item>
  617. <xf:item id="4"><xf:label>Agata Correia Agata [3]</xf:label><xf:value>4</xf:value></xf:item><xf:item id="5"><xf:label>Maja Weisser</xf:label><xf:value>5</xf:value></xf:item><xf:item id="6"><xf:label>Herry Robert Mapesi</xf:label><xf:value>6</xf:value></xf:item><xf:item id="7"><xf:label>George Rocky Sikalengo</xf:label><xf:value>7</xf:value></xf:item><xf:item id="8"><xf:label>ANDREW KATENDE</xf:label><xf:value>8</xf:value></xf:item><xf:item id="9"><xf:label>Robert Christopher Ndege</xf:label><xf:value>9</xf:value></xf:item><xf:item id="10"><xf:label>Getrud Joseph Mollel</xf:label><xf:value>10</xf:value></xf:item><xf:item id="11"><xf:label>Ezekiel Luoga</xf:label><xf:value>11</xf:value></xf:item><xf:item id="12"><xf:label>Lilian Moshi</xf:label><xf:value>12</xf:value></xf:item><xf:item id="13"><xf:label>Vanesa Anton Vazquez</xf:label><xf:value>13</xf:value></xf:item><xf:item id="14"><xf:label>Rahel Bircher</xf:label><xf:value>14</xf:value></xf:item><xf:item id="15"><xf:label>Gidion Fue</xf:label><xf:value>15</xf:value></xf:item><xf:item id="16"><xf:label>Athuman Mtandanguo</xf:label><xf:value>16</xf:value></xf:item><xf:item id="17"><xf:label>Specioza Hwaya</xf:label><xf:value>17</xf:value></xf:item><xf:item id="18"><xf:label>Armon Arpagaus</xf:label><xf:value>18</xf:value></xf:item><xf:item id="19"><xf:label>Ngisi Peter Masawa</xf:label><xf:value>19</xf:value></xf:item><xf:item id="20"><xf:label>Anna Eichenberger</xf:label><xf:value>20</xf:value></xf:item><xf:item id="21"><xf:label>Felister Godson Kiwelu</xf:label><xf:value>21</xf:value></xf:item><xf:item id="22"><xf:label>Phamarcy CDCI</xf:label><xf:value>22</xf:value></xf:item><xf:item id="23"><xf:label>Pharmacy one Stop</xf:label><xf:value>23</xf:value></xf:item><xf:item id="24"><xf:label>Unknown Provider [UNKNOWN]</xf:label><xf:value>24</xf:value></xf:item><xf:item id="3"><xf:label>Herry Robert Mapesi [14]</xf:label><xf:value>3</xf:value></xf:item><xf:item id="1"><xf:label>Claudio Zaugg [12]</xf:label><xf:value>1</xf:value></xf:item><xf:item id="2"><xf:label>Lucas Gervas Shayo [13]</xf:label><xf:value>2</xf:value></xf:item><xf:item id="31"><xf:label>Lukag shayog gervass [31]</xf:label><xf:value>31</xf:value></xf:item><xf:item id="55"><xf:label>Migration User March2013 [55]</xf:label><xf:value>55</xf:value></xf:item><xf:item id="72"><xf:label>Stefan Peter Erb [72]</xf:label><xf:value>72</xf:value></xf:item><xf:item id="62"><xf:label>Selerine John Myeya [62]</xf:label><xf:value>62</xf:value></xf:item><xf:item id="100"><xf:label>Maja Weisser [100]</xf:label><xf:value>100</xf:value></xf:item><xf:item id="90"><xf:label>Julius Mkumbo [90]</xf:label><xf:value>90</xf:value></xf:item><xf:item id="75"><xf:label>Herry Robert Mapesi [75]</xf:label><xf:value>75</xf:value></xf:item><xf:item id="80"><xf:label>George Rocky Sikalengo [80]</xf:label><xf:value>80</xf:value></xf:item><xf:item id="96"><xf:label>ANDREW KATENDE [96]</xf:label><xf:value>96</xf:value></xf:item><xf:item id="113"><xf:label>Getrud Joseph Mollel [113]</xf:label><xf:value>113</xf:value></xf:item><xf:item id="111"><xf:label>Robert Christopher Ndege [111]</xf:label><xf:value>111</xf:value></xf:item><xf:item id="117"><xf:label>Lilian Moshi [117]</xf:label><xf:value>117</xf:value></xf:item><xf:item id="105"><xf:label>Ezekiel Luoga [105]</xf:label><xf:value>105</xf:value></xf:item><xf:item id="124"><xf:label>Vaileth Brown Nyahenza [124]</xf:label><xf:value>124</xf:value></xf:item><xf:item id="50"><xf:label>Sanula Nahota [50]</xf:label><xf:value>50</xf:value></xf:item><xf:item id="130"><xf:label>Felister Godson Kiwelu [130]</xf:label><xf:value>130</xf:value></xf:item><xf:item id="128"><xf:label>Armon Arpagaus [128]</xf:label><xf:value>128</xf:value></xf:item><xf:item id="129"><xf:label>Anna Eichenberger [129]</xf:label><xf:value>129</xf:value></xf:item><xf:item id="32"><xf:label>Gidion Fue [32]</xf:label><xf:value>32</xf:value></xf:item><xf:item id="68"><xf:label>Dolores Mpundunga [68]</xf:label><xf:value>68</xf:value></xf:item><xf:item id="30"><xf:label>Specioza Hwaya [30]</xf:label><xf:value>30</xf:value></xf:item><xf:item id="37"><xf:label>Mengi Mkulila [37]</xf:label><xf:value>37</xf:value></xf:item><xf:item id="106"><xf:label>Sharifa Nakapala [106]</xf:label><xf:value>106</xf:value></xf:item><xf:item id="36"><xf:label>Agatha Ngulukila [36]</xf:label><xf:value>36</xf:value></xf:item><xf:item id="48"><xf:label>Yassin Kisunga [48]</xf:label><xf:value>48</xf:value></xf:item><xf:item id="125"><xf:label>Ngisi Peter Masawa [125]</xf:label><xf:value>125</xf:value></xf:item><xf:item id="35"><xf:label>Ascholer Asantiel [35]</xf:label><xf:value>35</xf:value></xf:item><xf:item id="64"><xf:label>Brayson Kasuga [64]</xf:label><xf:value>64</xf:value></xf:item></xf:select1>
  618. <xf:input bind="arv_other">
  619. <xf:label>ARV_OTHER</xf:label>
  620. <xf:hint>Other ARV regimen, specify-A question on KIULARCO HIV_MRS drug_order form</xf:hint>
  621. </xf:input><xf:input bind="art_dose">
  622. <xf:label>ART_DOSE</xf:label>
  623. </xf:input><xf:select1 bind="art_dose_freq">
  624. <xf:label>ART_DOSE_FREQ</xf:label>
  625. <xf:item concept_id="161550" id="160862^Once daily^99DCT">
  626. <xf:label>Once daily</xf:label>
  627. <xf:value>160862^Once daily^99DCT</xf:value>
  628. </xf:item>
  629. <xf:item concept_id="161550" id="160858^Twice daily^99DCT">
  630. <xf:label>Twice daily</xf:label>
  631. <xf:value>160858^Twice daily^99DCT</xf:value>
  632. </xf:item>
  633. <xf:item concept_id="161550" id="160866^Thrice daily^99DCT">
  634. <xf:label>Thrice daily</xf:label>
  635. <xf:value>160866^Thrice daily^99DCT</xf:value>
  636. </xf:item>
  637. </xf:select1><xf:select1 bind="art_presc_lngth">
  638. <xf:label>ART_PRESC_LNGTH</xf:label>
  639. <xf:item concept_id="161551" id="161538^14 days^99DCT">
  640. <xf:label>14 days</xf:label>
  641. <xf:value>161538^14 days^99DCT</xf:value>
  642. </xf:item>
  643. <xf:item concept_id="161551" id="161539^1 month^99DCT">
  644. <xf:label>1 month</xf:label>
  645. <xf:value>161539^1 month^99DCT</xf:value>
  646. </xf:item>
  647. <xf:item concept_id="161551" id="161540^3 months^99DCT">
  648. <xf:label>3 months</xf:label>
  649. <xf:value>161540^3 months^99DCT</xf:value>
  650. </xf:item>
  651. <xf:item concept_id="161551" id="161541^6 month^99DCT">
  652. <xf:label>6 month</xf:label>
  653. <xf:value>161541^6 month^99DCT</xf:value>
  654. </xf:item>
  655. <xf:item concept_id="161551" id="5622^OTHER NON-CODED^99DCT">
  656. <xf:label>OTHER NON-CODED</xf:label>
  657. <xf:value>5622^OTHER NON-CODED^99DCT</xf:value>
  658. </xf:item>
  659. </xf:select1><xf:input bind="art_presc_oth">
  660. <xf:label>ART_PRESC_OTH</xf:label>
  661. </xf:input><xf:select1 bind="cotrimox">
  662. <xf:label>COTRIMOX</xf:label>
  663. <xf:item concept_id="161803" id="1066^NO^99DCT">
  664. <xf:label>NO</xf:label>
  665. <xf:value>1066^NO^99DCT</xf:value>
  666. </xf:item>
  667. <xf:item concept_id="161803" id="161120^start^99DCT">
  668. <xf:label>start</xf:label>
  669. <xf:value>161120^start^99DCT</xf:value>
  670. </xf:item>
  671. <xf:item concept_id="161803" id="159835^Continue^99DCT">
  672. <xf:label>Continue</xf:label>
  673. <xf:value>159835^Continue^99DCT</xf:value>
  674. </xf:item>
  675. <xf:item concept_id="161803" id="1267^COMPLETED^99DCT">
  676. <xf:label>COMPLETED</xf:label>
  677. <xf:value>1267^COMPLETED^99DCT</xf:value>
  678. </xf:item>
  679. <xf:item concept_id="161803" id="161123^stop^99DCT">
  680. <xf:label>stop</xf:label>
  681. <xf:value>161123^stop^99DCT</xf:value>
  682. </xf:item>
  683. <xf:item concept_id="161803" id="161124^restart^99DCT">
  684. <xf:label>restart</xf:label>
  685. <xf:value>161124^restart^99DCT</xf:value>
  686. </xf:item>
  687. </xf:select1><xf:select1 bind="cot_presc_lngth">
  688. <xf:label>COT_PRESC_LNGTH</xf:label>
  689. <xf:item concept_id="161553" id="161538^14 days^99DCT">
  690. <xf:label>14 days</xf:label>
  691. <xf:value>161538^14 days^99DCT</xf:value>
  692. </xf:item>
  693. <xf:item concept_id="161553" id="161539^1 month^99DCT">
  694. <xf:label>1 month</xf:label>
  695. <xf:value>161539^1 month^99DCT</xf:value>
  696. </xf:item>
  697. <xf:item concept_id="161553" id="161540^3 months^99DCT">
  698. <xf:label>3 months</xf:label>
  699. <xf:value>161540^3 months^99DCT</xf:value>
  700. </xf:item>
  701. <xf:item concept_id="161553" id="161541^6 month^99DCT">
  702. <xf:label>6 month</xf:label>
  703. <xf:value>161541^6 month^99DCT</xf:value>
  704. </xf:item>
  705. <xf:item concept_id="161553" id="5622^OTHER NON-CODED^99DCT">
  706. <xf:label>OTHER NON-CODED</xf:label>
  707. <xf:value>5622^OTHER NON-CODED^99DCT</xf:value>
  708. </xf:item>
  709. </xf:select1><xf:input bind="cot_presc_other">
  710. <xf:label>COT_PRESC_OTHER</xf:label>
  711. </xf:input><xf:select1 bind="ipt">
  712. <xf:label>IPT</xf:label>
  713. <xf:hint>Isoniazid preventive therapy-A question on KIULARCO HIV_MRS forms</xf:hint>
  714. <xf:item concept_id="161253" id="1066^NO^99DCT">
  715. <xf:label>NO</xf:label>
  716. <xf:value>1066^NO^99DCT</xf:value>
  717. </xf:item>
  718. <xf:item concept_id="161253" id="161120^start^99DCT">
  719. <xf:label>start</xf:label>
  720. <xf:value>161120^start^99DCT</xf:value>
  721. </xf:item>
  722. <xf:item concept_id="161253" id="159835^Continue^99DCT">
  723. <xf:label>Continue</xf:label>
  724. <xf:value>159835^Continue^99DCT</xf:value>
  725. </xf:item>
  726. <xf:item concept_id="161253" id="1267^COMPLETED^99DCT">
  727. <xf:label>COMPLETED</xf:label>
  728. <xf:value>1267^COMPLETED^99DCT</xf:value>
  729. </xf:item>
  730. <xf:item concept_id="161253" id="161123^stop^99DCT">
  731. <xf:label>stop</xf:label>
  732. <xf:value>161123^stop^99DCT</xf:value>
  733. </xf:item>
  734. <xf:item concept_id="161253" id="161124^restart^99DCT">
  735. <xf:label>restart</xf:label>
  736. <xf:value>161124^restart^99DCT</xf:value>
  737. </xf:item>
  738. </xf:select1><xf:select1 bind="ipt_presc_lngth">
  739. <xf:label>IPT_PRESC_LNGTH</xf:label>
  740. <xf:item concept_id="161555" id="161538^14 days^99DCT">
  741. <xf:label>14 days</xf:label>
  742. <xf:value>161538^14 days^99DCT</xf:value>
  743. </xf:item>
  744. <xf:item concept_id="161555" id="161539^1 month^99DCT">
  745. <xf:label>1 month</xf:label>
  746. <xf:value>161539^1 month^99DCT</xf:value>
  747. </xf:item>
  748. <xf:item concept_id="161555" id="161540^3 months^99DCT">
  749. <xf:label>3 months</xf:label>
  750. <xf:value>161540^3 months^99DCT</xf:value>
  751. </xf:item>
  752. <xf:item concept_id="161555" id="161541^6 month^99DCT">
  753. <xf:label>6 month</xf:label>
  754. <xf:value>161541^6 month^99DCT</xf:value>
  755. </xf:item>
  756. <xf:item concept_id="161555" id="5622^OTHER NON-CODED^99DCT">
  757. <xf:label>OTHER NON-CODED</xf:label>
  758. <xf:value>5622^OTHER NON-CODED^99DCT</xf:value>
  759. </xf:item>
  760. </xf:select1><xf:input bind="ipt_presc_oth">
  761. <xf:label>IPT_PRESC_OTH</xf:label>
  762. </xf:input><xf:select1 bind="fluco">
  763. <xf:label>FLUCO</xf:label>
  764. <xf:hint>Fluconazole-A question on KIULARCO HIV_MRS drug refill form</xf:hint>
  765. <xf:item concept_id="161267" id="1066^NO^99DCT">
  766. <xf:label>NO</xf:label>
  767. <xf:value>1066^NO^99DCT</xf:value>
  768. </xf:item>
  769. <xf:item concept_id="161267" id="161120^start^99DCT">
  770. <xf:label>start</xf:label>
  771. <xf:value>161120^start^99DCT</xf:value>
  772. </xf:item>
  773. <xf:item concept_id="161267" id="159835^Continue^99DCT">
  774. <xf:label>Continue</xf:label>
  775. <xf:value>159835^Continue^99DCT</xf:value>
  776. </xf:item>
  777. <xf:item concept_id="161267" id="1267^COMPLETED^99DCT">
  778. <xf:label>COMPLETED</xf:label>
  779. <xf:value>1267^COMPLETED^99DCT</xf:value>
  780. </xf:item>
  781. <xf:item concept_id="161267" id="161123^stop^99DCT">
  782. <xf:label>stop</xf:label>
  783. <xf:value>161123^stop^99DCT</xf:value>
  784. </xf:item>
  785. <xf:item concept_id="161267" id="161124^restart^99DCT">
  786. <xf:label>restart</xf:label>
  787. <xf:value>161124^restart^99DCT</xf:value>
  788. </xf:item>
  789. </xf:select1><xf:select1 bind="fluco_presc_lngth">
  790. <xf:label>FLUCO_PRESC_LNGTH</xf:label>
  791. <xf:item concept_id="161557" id="161538^14 days^99DCT">
  792. <xf:label>14 days</xf:label>
  793. <xf:value>161538^14 days^99DCT</xf:value>
  794. </xf:item>
  795. <xf:item concept_id="161557" id="161539^1 month^99DCT">
  796. <xf:label>1 month</xf:label>
  797. <xf:value>161539^1 month^99DCT</xf:value>
  798. </xf:item>
  799. <xf:item concept_id="161557" id="161540^3 months^99DCT">
  800. <xf:label>3 months</xf:label>
  801. <xf:value>161540^3 months^99DCT</xf:value>
  802. </xf:item>
  803. <xf:item concept_id="161557" id="161541^6 month^99DCT">
  804. <xf:label>6 month</xf:label>
  805. <xf:value>161541^6 month^99DCT</xf:value>
  806. </xf:item>
  807. <xf:item concept_id="161557" id="5622^OTHER NON-CODED^99DCT">
  808. <xf:label>OTHER NON-CODED</xf:label>
  809. <xf:value>5622^OTHER NON-CODED^99DCT</xf:value>
  810. </xf:item>
  811. </xf:select1><xf:input bind="fluco_presc_oth">
  812. <xf:label>FLUCO_PRESC_OTH</xf:label>
  813. </xf:input><xf:select1 bind="anti_tb_med">
  814. <xf:label>ANTI_TB_MED</xf:label>
  815. <xf:item concept_id="161559" id="1066^NO^99DCT">
  816. <xf:label>NO</xf:label>
  817. <xf:value>1066^NO^99DCT</xf:value>
  818. </xf:item>
  819. <xf:item concept_id="161559" id="161542^4FDC(HREZ)^99DCT">
  820. <xf:label>4FDC(HREZ)</xf:label>
  821. <xf:value>161542^4FDC(HREZ)^99DCT</xf:value>
  822. </xf:item>
  823. <xf:item concept_id="161559" id="161543^3FDC (HRZ)^99DCT">
  824. <xf:label>3FDC (HRZ)</xf:label>
  825. <xf:value>161543^3FDC (HRZ)^99DCT</xf:value>
  826. </xf:item>
  827. <xf:item concept_id="161559" id="161544^2FDC (HR)^99DCT">
  828. <xf:label>2FDC (HR)</xf:label>
  829. <xf:value>161544^2FDC (HR)^99DCT</xf:value>
  830. </xf:item>
  831. <xf:item concept_id="161559" id="161545^4FDC+S^99DCT">
  832. <xf:label>4FDC+S</xf:label>
  833. <xf:value>161545^4FDC+S^99DCT</xf:value>
  834. </xf:item>
  835. <xf:item concept_id="161559" id="161546^2ND line^99DCT">
  836. <xf:label>2ND line</xf:label>
  837. <xf:value>161546^2ND line^99DCT</xf:value>
  838. </xf:item>
  839. </xf:select1><xf:select1 bind="anti_tb">
  840. <xf:label>ANTI_TB</xf:label>
  841. <xf:hint>Anti-TB medication-A question on KIULARCO HIV_MRS forms</xf:hint>
  842. <xf:item concept_id="161280" id="161120^start^99DCT">
  843. <xf:label>start</xf:label>
  844. <xf:value>161120^start^99DCT</xf:value>
  845. </xf:item>
  846. <xf:item concept_id="161280" id="159835^Continue^99DCT">
  847. <xf:label>Continue</xf:label>
  848. <xf:value>159835^Continue^99DCT</xf:value>
  849. </xf:item>
  850. <xf:item concept_id="161280" id="1267^COMPLETED^99DCT">
  851. <xf:label>COMPLETED</xf:label>
  852. <xf:value>1267^COMPLETED^99DCT</xf:value>
  853. </xf:item>
  854. <xf:item concept_id="161280" id="161123^stop^99DCT">
  855. <xf:label>stop</xf:label>
  856. <xf:value>161123^stop^99DCT</xf:value>
  857. </xf:item>
  858. <xf:item concept_id="161280" id="161124^restart^99DCT">
  859. <xf:label>restart</xf:label>
  860. <xf:value>161124^restart^99DCT</xf:value>
  861. </xf:item>
  862. </xf:select1><xf:input bind="tb_startdt">
  863. <xf:label>TB_STARTDT</xf:label>
  864. <xf:hint>Start dateof ant-TB medication-A question on KIULARCO HIV_MRS drug_order form</xf:hint>
  865. </xf:input><xf:input bind="tb_stopdt">
  866. <xf:label>TB_STOPDT</xf:label>
  867. <xf:hint>Stop date of anti-TB medication-A question on KIULARCO HIV_MRS drug_order form</xf:hint>
  868. </xf:input><xf:input bind="tb_restartdt">
  869. <xf:label>TB_RESTARTDT</xf:label>
  870. </xf:input><xf:select1 bind="tb_presc_lngth">
  871. <xf:label>TB_PRESC_LNGTH</xf:label>
  872. <xf:item concept_id="161560" id="161881^2 months^99DCT">
  873. <xf:label>2 months</xf:label>
  874. <xf:value>161881^2 months^99DCT</xf:value>
  875. </xf:item>
  876. <xf:item concept_id="161560" id="161882^4 months^99DCT">
  877. <xf:label>4 months</xf:label>
  878. <xf:value>161882^4 months^99DCT</xf:value>
  879. </xf:item>
  880. <xf:item concept_id="161560" id="161883^7 months^99DCT">
  881. <xf:label>7 months</xf:label>
  882. <xf:value>161883^7 months^99DCT</xf:value>
  883. </xf:item>
  884. <xf:item concept_id="161560" id="161884^10 months^99DCT">
  885. <xf:label>10 months</xf:label>
  886. <xf:value>161884^10 months^99DCT</xf:value>
  887. </xf:item>
  888. <xf:item concept_id="161560" id="5622^OTHER NON-CODED^99DCT">
  889. <xf:label>OTHER NON-CODED</xf:label>
  890. <xf:value>5622^OTHER NON-CODED^99DCT</xf:value>
  891. </xf:item>
  892. </xf:select1><xf:input bind="_2nd_line1_spec">
  893. <xf:label>2ND_LINE1_SPEC</xf:label>
  894. </xf:input><xf:input bind="_2nd_line1_presc">
  895. <xf:label>2ND_LINE1_PRESC</xf:label>
  896. </xf:input><xf:input bind="_2nd_line2_spec">
  897. <xf:label>2ND_LINE2_SPEC</xf:label>
  898. </xf:input><xf:select1 bind="_2nd_line2">
  899. <xf:label>2ND_LINE2</xf:label>
  900. <xf:item concept_id="161565" id="161120^start^99DCT">
  901. <xf:label>start</xf:label>
  902. <xf:value>161120^start^99DCT</xf:value>
  903. </xf:item>
  904. <xf:item concept_id="161565" id="159835^Continue^99DCT">
  905. <xf:label>Continue</xf:label>
  906. <xf:value>159835^Continue^99DCT</xf:value>
  907. </xf:item>
  908. <xf:item concept_id="161565" id="1267^COMPLETED^99DCT">
  909. <xf:label>COMPLETED</xf:label>
  910. <xf:value>1267^COMPLETED^99DCT</xf:value>
  911. </xf:item>
  912. <xf:item concept_id="161565" id="161123^stop^99DCT">
  913. <xf:label>stop</xf:label>
  914. <xf:value>161123^stop^99DCT</xf:value>
  915. </xf:item>
  916. <xf:item concept_id="161565" id="161124^restart^99DCT">
  917. <xf:label>restart</xf:label>
  918. <xf:value>161124^restart^99DCT</xf:value>
  919. </xf:item>
  920. </xf:select1><xf:input bind="_2nd_line2_presc">
  921. <xf:label>2ND_LINE2_PRESC</xf:label>
  922. </xf:input><xf:input bind="_2nd_line3_spec">
  923. <xf:label>2ND_LINE3_SPEC</xf:label>
  924. </xf:input><xf:select1 bind="_2nd_line3">
  925. <xf:label>2ND_LINE3</xf:label>
  926. <xf:item concept_id="161568" id="161120^start^99DCT">
  927. <xf:label>start</xf:label>
  928. <xf:value>161120^start^99DCT</xf:value>
  929. </xf:item>
  930. <xf:item concept_id="161568" id="159835^Continue^99DCT">
  931. <xf:label>Continue</xf:label>
  932. <xf:value>159835^Continue^99DCT</xf:value>
  933. </xf:item>
  934. <xf:item concept_id="161568" id="1267^COMPLETED^99DCT">
  935. <xf:label>COMPLETED</xf:label>
  936. <xf:value>1267^COMPLETED^99DCT</xf:value>
  937. </xf:item>
  938. <xf:item concept_id="161568" id="161123^stop^99DCT">
  939. <xf:label>stop</xf:label>
  940. <xf:value>161123^stop^99DCT</xf:value>
  941. </xf:item>
  942. <xf:item concept_id="161568" id="161124^restart^99DCT">
  943. <xf:label>restart</xf:label>
  944. <xf:value>161124^restart^99DCT</xf:value>
  945. </xf:item>
  946. </xf:select1><xf:input bind="_2nd_line3_presc">
  947. <xf:label>2ND_LINE3_PRESC</xf:label>
  948. </xf:input><xf:input bind="other_med1_spec">
  949. <xf:label>OTHER_MED1_SPEC</xf:label>
  950. </xf:input><xf:select1 bind="other_med1">
  951. <xf:label>OTHER_MED1</xf:label>
  952. <xf:item concept_id="161577" id="161120^start^99DCT">
  953. <xf:label>start</xf:label>
  954. <xf:value>161120^start^99DCT</xf:value>
  955. </xf:item>
  956. <xf:item concept_id="161577" id="159835^Continue^99DCT">
  957. <xf:label>Continue</xf:label>
  958. <xf:value>159835^Continue^99DCT</xf:value>
  959. </xf:item>
  960. <xf:item concept_id="161577" id="1267^COMPLETED^99DCT">
  961. <xf:label>COMPLETED</xf:label>
  962. <xf:value>1267^COMPLETED^99DCT</xf:value>
  963. </xf:item>
  964. <xf:item concept_id="161577" id="161123^stop^99DCT">
  965. <xf:label>stop</xf:label>
  966. <xf:value>161123^stop^99DCT</xf:value>
  967. </xf:item>
  968. <xf:item concept_id="161577" id="161124^restart^99DCT">
  969. <xf:label>restart</xf:label>
  970. <xf:value>161124^restart^99DCT</xf:value>
  971. </xf:item>
  972. </xf:select1><xf:input bind="oth1_presc_lngth">
  973. <xf:label>OTH1_PRESC_LNGTH</xf:label>
  974. </xf:input><xf:input bind="other_med2_spec">
  975. <xf:label>OTHER_MED2_SPEC</xf:label>
  976. </xf:input><xf:select1 bind="other_med2">
  977. <xf:label>OTHER_MED2</xf:label>
  978. <xf:item concept_id="161580" id="161120^start^99DCT">
  979. <xf:label>start</xf:label>
  980. <xf:value>161120^start^99DCT</xf:value>
  981. </xf:item>
  982. <xf:item concept_id="161580" id="159835^Continue^99DCT">
  983. <xf:label>Continue</xf:label>
  984. <xf:value>159835^Continue^99DCT</xf:value>
  985. </xf:item>
  986. <xf:item concept_id="161580" id="1267^COMPLETED^99DCT">
  987. <xf:label>COMPLETED</xf:label>
  988. <xf:value>1267^COMPLETED^99DCT</xf:value>
  989. </xf:item>
  990. <xf:item concept_id="161580" id="161123^stop^99DCT">
  991. <xf:label>stop</xf:label>
  992. <xf:value>161123^stop^99DCT</xf:value>
  993. </xf:item>
  994. <xf:item concept_id="161580" id="161124^restart^99DCT">
  995. <xf:label>restart</xf:label>
  996. <xf:value>161124^restart^99DCT</xf:value>
  997. </xf:item>
  998. </xf:select1><xf:input bind="oth2_presc_lngth">
  999. <xf:label>OTH2_PRESC_LNGTH</xf:label>
  1000. </xf:input><xf:input bind="other_med3_spec">
  1001. <xf:label>OTHER_MED3_SPEC</xf:label>
  1002. </xf:input><xf:select1 bind="other_med3">
  1003. <xf:label>OTHER_MED3</xf:label>
  1004. <xf:item concept_id="161583" id="161120^start^99DCT">
  1005. <xf:label>start</xf:label>
  1006. <xf:value>161120^start^99DCT</xf:value>
  1007. </xf:item>
  1008. <xf:item concept_id="161583" id="159835^Continue^99DCT">
  1009. <xf:label>Continue</xf:label>
  1010. <xf:value>159835^Continue^99DCT</xf:value>
  1011. </xf:item>
  1012. <xf:item concept_id="161583" id="1267^COMPLETED^99DCT">
  1013. <xf:label>COMPLETED</xf:label>
  1014. <xf:value>1267^COMPLETED^99DCT</xf:value>
  1015. </xf:item>
  1016. <xf:item concept_id="161583" id="161123^stop^99DCT">
  1017. <xf:label>stop</xf:label>
  1018. <xf:value>161123^stop^99DCT</xf:value>
  1019. </xf:item>
  1020. <xf:item concept_id="161583" id="161124^restart^99DCT">
  1021. <xf:label>restart</xf:label>
  1022. <xf:value>161124^restart^99DCT</xf:value>
  1023. </xf:item>
  1024. </xf:select1><xf:input bind="oth3_presc_lngth">
  1025. <xf:label>OTH3_PRESC_LNGTH</xf:label>
  1026. </xf:input><xf:input bind="other_med4_spec">
  1027. <xf:label>OTHER_MED4_SPEC</xf:label>
  1028. </xf:input><xf:select1 bind="other_med4">
  1029. <xf:label>OTHER_MED4</xf:label>
  1030. <xf:item concept_id="161586" id="161120^start^99DCT">
  1031. <xf:label>start</xf:label>
  1032. <xf:value>161120^start^99DCT</xf:value>
  1033. </xf:item>
  1034. <xf:item concept_id="161586" id="159835^Continue^99DCT">
  1035. <xf:label>Continue</xf:label>
  1036. <xf:value>159835^Continue^99DCT</xf:value>
  1037. </xf:item>
  1038. <xf:item concept_id="161586" id="1267^COMPLETED^99DCT">
  1039. <xf:label>COMPLETED</xf:label>
  1040. <xf:value>1267^COMPLETED^99DCT</xf:value>
  1041. </xf:item>
  1042. <xf:item concept_id="161586" id="161123^stop^99DCT">
  1043. <xf:label>stop</xf:label>
  1044. <xf:value>161123^stop^99DCT</xf:value>
  1045. </xf:item>
  1046. <xf:item concept_id="161586" id="161124^restart^99DCT">
  1047. <xf:label>restart</xf:label>
  1048. <xf:value>161124^restart^99DCT</xf:value>
  1049. </xf:item>
  1050. </xf:select1><xf:input bind="oth4_presc_lngth">
  1051. <xf:label>OTH4_PRESC_LNGTH</xf:label>
  1052. </xf:input><xf:input bind="other_med5_spec">
  1053. <xf:label>OTHER_MED5_SPEC</xf:label>
  1054. </xf:input><xf:select1 bind="other_med5">
  1055. <xf:label>OTHER_MED5</xf:label>
  1056. <xf:item concept_id="161589" id="161120^start^99DCT">
  1057. <xf:label>start</xf:label>
  1058. <xf:value>161120^start^99DCT</xf:value>
  1059. </xf:item>
  1060. <xf:item concept_id="161589" id="159835^Continue^99DCT">
  1061. <xf:label>Continue</xf:label>
  1062. <xf:value>159835^Continue^99DCT</xf:value>
  1063. </xf:item>
  1064. <xf:item concept_id="161589" id="1267^COMPLETED^99DCT">
  1065. <xf:label>COMPLETED</xf:label>
  1066. <xf:value>1267^COMPLETED^99DCT</xf:value>
  1067. </xf:item>
  1068. <xf:item concept_id="161589" id="161123^stop^99DCT">
  1069. <xf:label>stop</xf:label>
  1070. <xf:value>161123^stop^99DCT</xf:value>
  1071. </xf:item>
  1072. <xf:item concept_id="161589" id="161124^restart^99DCT">
  1073. <xf:label>restart</xf:label>
  1074. <xf:value>161124^restart^99DCT</xf:value>
  1075. </xf:item>
  1076. </xf:select1><xf:input bind="oth5_presc_lngth">
  1077. <xf:label>OTH5_PRESC_LNGTH</xf:label>
  1078. </xf:input><xf:select1 bind="art_disch">
  1079. <xf:label>ART_DISCH</xf:label>
  1080. <xf:hint>ART at discharge</xf:hint>
  1081. <xf:item concept_id="161547" id="1107^NONE^99DCT">
  1082. <xf:label>NONE</xf:label>
  1083. <xf:value>1107^NONE^99DCT</xf:value>
  1084. </xf:item>
  1085. <xf:item concept_id="161547" id="161503^PMTCT^99DCT">
  1086. <xf:label>PMTCT</xf:label>
  1087. <xf:value>161503^PMTCT^99DCT</xf:value>
  1088. </xf:item>
  1089. <xf:item concept_id="161547" id="161504^PEP^99DCT">
  1090. <xf:label>PEP</xf:label>
  1091. <xf:value>161504^PEP^99DCT</xf:value>
  1092. </xf:item><xf:item concept_id="161547" id="161151^1a(30)=d4T(30)+3TC+NVP^99DCT">
  1093. <xf:label>1a(30)=d4T(30)+3TC+NVP</xf:label>
  1094. <xf:value>161151^1a(30)=d4T(30)+3TC+NVP^99DCT</xf:value>
  1095. </xf:item><xf:item concept_id="161547" id="161153^1a(30)L=d4T(30)+3TC+NVP^99DCT">
  1096. <xf:label>1a(30)L=d4T(30)+3TC+NVP</xf:label>
  1097. <xf:value>161153^1a(30)L=d4T(30)+3TC+NVP^99DCT</xf:value>
  1098. </xf:item><xf:item concept_id="161547" id="161163^1d(30)=d4T(30)+3TC+EFV^99DCT">
  1099. <xf:label>1d(30)=d4T(30)+3TC+EFV</xf:label>
  1100. <xf:value>161163^1d(30)=d4T(30)+3TC+EFV^99DCT</xf:value>
  1101. </xf:item><xf:item concept_id="161547" id="161178^2a=ABC+ddl+LPV/r^99DCT">
  1102. <xf:label>2a=ABC+ddl+LPV/r</xf:label>
  1103. <xf:value>161178^2a=ABC+ddl+LPV/r^99DCT</xf:value>
  1104. </xf:item><xf:item concept_id="161547" id="161180^2b=ABC+ddl+SQV/r^99DCT">
  1105. <xf:label>2b=ABC+ddl+SQV/r</xf:label>
  1106. <xf:value>161180^2b=ABC+ddl+SQV/r^99DCT</xf:value>
  1107. </xf:item><xf:item concept_id="161547" id="161182^2d=ABC+ddl+ATV/r^99DCT">
  1108. <xf:label>2d=ABC+ddl+ATV/r</xf:label>
  1109. <xf:value>161182^2d=ABC+ddl+ATV/r^99DCT</xf:value>
  1110. </xf:item><xf:item concept_id="161547" id="161148^1a=d4T+3TC+NVP^99DCT">
  1111. <xf:label>1a=d4T+3TC+NVP</xf:label>
  1112. <xf:value>161148^1a=d4T+3TC+NVP^99DCT</xf:value>
  1113. </xf:item>
  1114.  
  1115.  
  1116. <xf:item concept_id="161547" id="161155^1b=AZT+3TC+NVP^99DCT">
  1117. <xf:label>1b=AZT+3TC+NVP</xf:label>
  1118. <xf:value>161155^1b=AZT+3TC+NVP^99DCT</xf:value>
  1119. </xf:item>
  1120. <xf:item concept_id="161547" id="161156^1c=AZT+3TC+EFV^99DCT">
  1121. <xf:label>1c=AZT+3TC+EFV</xf:label>
  1122. <xf:value>161156^1c=AZT+3TC+EFV^99DCT</xf:value>
  1123. </xf:item>
  1124. <xf:item concept_id="161547" id="161159^1d=d4T+3TC+EFV^99DCT">
  1125. <xf:label>1d=d4T+3TC+EFV</xf:label>
  1126. <xf:value>161159^1d=d4T+3TC+EFV^99DCT</xf:value>
  1127. </xf:item>
  1128.  
  1129. <xf:item concept_id="161547" id="161164^1e=TDF+FTC+EFV^99DCT">
  1130. <xf:label>1e=TDF+FTC+EFV</xf:label>
  1131. <xf:value>161164^1e=TDF+FTC+EFV^99DCT</xf:value>
  1132. </xf:item>
  1133. <xf:item concept_id="161547" id="161168^1f=TDF+FTC+NVP^99DCT">
  1134. <xf:label>1f=TDF+FTC+NVP</xf:label>
  1135. <xf:value>161168^1f=TDF+FTC+NVP^99DCT</xf:value>
  1136. </xf:item>
  1137. <xf:item concept_id="161547" id="161170^1g=TDF+3TC+EFV^99DCT">
  1138. <xf:label>1g=TDF+3TC+EFV</xf:label>
  1139. <xf:value>161170^1g=TDF+3TC+EFV^99DCT</xf:value>
  1140. </xf:item>
  1141. <xf:item concept_id="161547" id="161171^1h=TDF+3TC+NVP^99DCT">
  1142. <xf:label>1h=TDF+3TC+NVP</xf:label>
  1143. <xf:value>161171^1h=TDF+3TC+NVP^99DCT</xf:value>
  1144. </xf:item>
  1145. <xf:item concept_id="161547" id="161176^1x=Other1stline^99DCT">
  1146. <xf:label>1x=Other1stline</xf:label>
  1147. <xf:value>161176^1x=Other1stline^99DCT</xf:value>
  1148. </xf:item>
  1149.  
  1150.  
  1151.  
  1152. <xf:item concept_id="161547" id="161185^2e=TDF+3TC+LPV/r^99DCT">
  1153. <xf:label>2e=TDF+3TC+LPV/r</xf:label>
  1154. <xf:value>161185^2e=TDF+3TC+LPV/r^99DCT</xf:value>
  1155. </xf:item>
  1156. <xf:item concept_id="161547" id="161187^2f=TDF+FTC+LPV/r^99DCT">
  1157. <xf:label>2f=TDF+FTC+LPV/r</xf:label>
  1158. <xf:value>161187^2f=TDF+FTC+LPV/r^99DCT</xf:value>
  1159. </xf:item>
  1160. <xf:item concept_id="161547" id="161190^2g=ABC+3TC+LPV/r^99DCT">
  1161. <xf:label>2g=ABC+3TC+LPV/r</xf:label>
  1162. <xf:value>161190^2g=ABC+3TC+LPV/r^99DCT</xf:value>
  1163. </xf:item>
  1164. <xf:item concept_id="161547" id="161195^2x=Other2ndline^99DCT">
  1165. <xf:label>2x=Other2ndline</xf:label>
  1166. <xf:value>161195^2x=Other2ndline^99DCT</xf:value>
  1167. </xf:item>
  1168.  
  1169. <xf:item concept_id="161547" id="161931^ABC, 3TC, LPV/r 1n-P^99DCT">
  1170. <xf:label>ABC, 3TC, LPV/r 1n-P</xf:label>
  1171. <xf:value>161931^ABC, 3TC, LPV/r 1n-P^99DCT</xf:value>
  1172. </xf:item>
  1173. <xf:item concept_id="161547" id="161920^1k-A ABC, 3TC, EFV 1k-P^99DCT">
  1174. <xf:label>1k-A ABC, 3TC, EFV 1k-P</xf:label>
  1175. <xf:value>161920^1k-A ABC, 3TC, EFV 1k-P^99DCT</xf:value>
  1176. </xf:item>
  1177. <xf:item concept_id="161547" id="161921^1m-A ABC, 3TC, NVP 1m-P^99DCT">
  1178. <xf:label>1m-A ABC, 3TC, NVP 1m-P</xf:label>
  1179. <xf:value>161921^1m-A ABC, 3TC, NVP 1m-P^99DCT</xf:value>
  1180. </xf:item>
  1181. <xf:item concept_id="161547" id="161922^2h-A TDF, FTC, ATV/r^99DCT">
  1182. <xf:label>2h-A TDF, FTC, ATV/r</xf:label>
  1183. <xf:value>161922^2h-A TDF, FTC, ATV/r^99DCT</xf:value>
  1184. </xf:item>
  1185. <xf:item concept_id="161547" id="161923^2s-A AZT, 3TC, ATV/r^99DCT">
  1186. <xf:label>2s-A AZT, 3TC, ATV/r</xf:label>
  1187. <xf:value>161923^2s-A AZT, 3TC, ATV/r^99DCT</xf:value>
  1188. </xf:item>
  1189. <xf:item concept_id="161547" id="161924^2k-A ABC, 3TC, ATV/r^99DCT">
  1190. <xf:label>2k-A ABC, 3TC, ATV/r</xf:label>
  1191. <xf:value>161924^2k-A ABC, 3TC, ATV/r^99DCT</xf:value>
  1192. </xf:item>
  1193. <xf:item concept_id="161547" id="161925^2m-A TDF, 3TC, ATV/r^99DCT">
  1194. <xf:label>2m-A TDF, 3TC, ATV/r</xf:label>
  1195. <xf:value>161925^2m-A TDF, 3TC, ATV/r^99DCT</xf:value>
  1196. </xf:item>
  1197. <xf:item concept_id="161547" id="161926^2n-A AZT, 3TC, LPV/r 2n-P^99DCT">
  1198. <xf:label>2n-A AZT, 3TC, LPV/r 2n-P</xf:label>
  1199. <xf:value>161926^2n-A AZT, 3TC, LPV/r 2n-P^99DCT</xf:value>
  1200. </xf:item>
  1201. <xf:item concept_id="161547" id="161927^AZT, 3TC, EFV 2t-P^99DCT">
  1202. <xf:label>AZT, 3TC, EFV 2t-P</xf:label>
  1203. <xf:value>161927^AZT, 3TC, EFV 2t-P^99DCT</xf:value>
  1204. </xf:item>
  1205. <xf:item concept_id="161547" id="161928^5a AZT^99DCT">
  1206. <xf:label>5a AZT</xf:label>
  1207. <xf:value>161928^5a AZT^99DCT</xf:value>
  1208. </xf:item>
  1209. <xf:item concept_id="161547" id="161929^5b AZT, 3TC, NVP^99DCT">
  1210. <xf:label>5b AZT, 3TC, NVP</xf:label>
  1211. <xf:value>161929^5b AZT, 3TC, NVP^99DCT</xf:value>
  1212. </xf:item>
  1213. <xf:item concept_id="161547" id="161930^5c AZT, 3TC^99DCT">
  1214. <xf:label>5c AZT, 3TC</xf:label>
  1215. <xf:value>161930^5c AZT, 3TC^99DCT</xf:value>
  1216. </xf:item>
  1217. <xf:item concept_id="161547" id="162061^DTG+ATV/r+ETV^99DCT">
  1218. <xf:label>DTG+ATV/r+ETV</xf:label>
  1219. <xf:value>162061^DTG+ATV/r+ETV^99DCT</xf:value>
  1220. </xf:item>
  1221. <xf:item concept_id="161547" id="162062^DTG+ETV+3TC^99DCT">
  1222. <xf:label>DTG+ETV+3TC</xf:label>
  1223. <xf:value>162062^DTG+ETV+3TC^99DCT</xf:value>
  1224. </xf:item>
  1225. <xf:item concept_id="161547" id="162063^DTG+ETV+FTC^99DCT">
  1226. <xf:label>DTG+ETV+FTC</xf:label>
  1227. <xf:value>162063^DTG+ETV+FTC^99DCT</xf:value>
  1228. </xf:item>
  1229. <xf:item concept_id="161547" id="162064^DTG+DRV/r+ETV^99DCT">
  1230. <xf:label>DTG+DRV/r+ETV</xf:label>
  1231. <xf:value>162064^DTG+DRV/r+ETV^99DCT</xf:value>
  1232. </xf:item>
  1233. <xf:item concept_id="161547" id="162065^RAL+DRV/r+ETV^99DCT">
  1234. <xf:label>RAL+DRV/r+ETV</xf:label>
  1235. <xf:value>162065^RAL+DRV/r+ETV^99DCT</xf:value>
  1236. </xf:item>
  1237. <xf:item concept_id="161547" id="162066^RAL+ATV/r+ETV^99DCT">
  1238. <xf:label>RAL+ATV/r+ETV</xf:label>
  1239. <xf:value>162066^RAL+ATV/r+ETV^99DCT</xf:value>
  1240. </xf:item>
  1241. <xf:item concept_id="161547" id="162067^DRV/r+ABC+3TC^99DCT">
  1242. <xf:label>DRV/r+ABC+3TC</xf:label>
  1243. <xf:value>162067^DRV/r+ABC+3TC^99DCT</xf:value>
  1244. </xf:item>
  1245. <xf:item concept_id="161547" id="162068^DRV/r+ABC/3TC^99DCT">
  1246. <xf:label>DRV/r+ABC/3TC</xf:label>
  1247. <xf:value>162068^DRV/r+ABC/3TC^99DCT</xf:value>
  1248. </xf:item>
  1249. <xf:item concept_id="161547" id="162069^DRV/r+AZT+3TC^99DCT">
  1250. <xf:label>DRV/r+AZT+3TC</xf:label>
  1251. <xf:value>162069^DRV/r+AZT+3TC^99DCT</xf:value>
  1252. </xf:item>
  1253. <xf:item concept_id="161547" id="162070^DRV+RTV+ABC+3TC^99DCT">
  1254. <xf:label>DRV+RTV+ABC+3TC</xf:label>
  1255. <xf:value>162070^DRV+RTV+ABC+3TC^99DCT</xf:value>
  1256. </xf:item>
  1257. <xf:item concept_id="161547" id="162071^DRV+RTV+AZT+3TC^99DCT">
  1258. <xf:label>DRV+RTV+AZT+3TC</xf:label>
  1259. <xf:value>162071^DRV+RTV+AZT+3TC^99DCT</xf:value>
  1260. </xf:item>
  1261. <xf:item concept_id="161547" id="162072^DTG+DRV/r+1-2NRTI^99DCT">
  1262. <xf:label>DTG+DRV/r+1-2NRTI</xf:label>
  1263. <xf:value>162072^DTG+DRV/r+1-2NRTI^99DCT</xf:value>
  1264. </xf:item>
  1265. <xf:item concept_id="161547" id="162073^DTG+DRV/r^99DCT">
  1266. <xf:label>DTG+DRV/r</xf:label>
  1267. <xf:value>162073^DTG+DRV/r^99DCT</xf:value>
  1268. </xf:item>
  1269. <xf:item concept_id="161547" id="162074^RAL+DRV/r+1-2NRTI^99DCT">
  1270. <xf:label>RAL+DRV/r+1-2NRTI</xf:label>
  1271. <xf:value>162074^RAL+DRV/r+1-2NRTI^99DCT</xf:value>
  1272. </xf:item>
  1273. <xf:item concept_id="161547" id="162075^RAL+DRV/r^99DCT">
  1274. <xf:label>RAL+DRV/r</xf:label>
  1275. <xf:value>162075^RAL+DRV/r^99DCT</xf:value>
  1276. </xf:item>
  1277. <xf:item concept_id="161547" id="162076^DTG+ABC+3TC^99DCT">
  1278. <xf:label>DTG+ABC+3TC</xf:label>
  1279. <xf:value>162076^DTG+ABC+3TC^99DCT</xf:value>
  1280. </xf:item>
  1281. <xf:item concept_id="161547" id="162077^DTG+AZT+3TC^99DCT">
  1282. <xf:label>DTG+AZT+3TC</xf:label>
  1283. <xf:value>162077^DTG+AZT+3TC^99DCT</xf:value>
  1284. </xf:item>
  1285. <xf:item concept_id="161547" id="162078^RAL+ABC+3TC^99DCT">
  1286. <xf:label>RAL+ABC+3TC</xf:label>
  1287. <xf:value>162078^RAL+ABC+3TC^99DCT</xf:value>
  1288. </xf:item>
  1289. <xf:item concept_id="161547" id="162079^RAL+AZT+3TC^99DCT">
  1290. <xf:label>RAL+AZT+3TC</xf:label>
  1291. <xf:value>162079^RAL+AZT+3TC^99DCT</xf:value>
  1292. </xf:item>
  1293. <xf:item id="161155^1b=ZDV(AZT)+3TC+NVP^99DCT"><xf:label>1b=ZDV(AZT)+3TC+NVP</xf:label><xf:value>161155^1b=ZDV(AZT)+3TC+NVP^99DCT</xf:value></xf:item><xf:item id="161156^1c=ZDV(AZT)+3TC+EFV^99DCT"><xf:label>1c=ZDV(AZT)+3TC+EFV</xf:label><xf:value>161156^1c=ZDV(AZT)+3TC+EFV^99DCT</xf:value></xf:item><xf:item id="161176^1xother1stline^99DCT"><xf:label>1xother1stline</xf:label><xf:value>161176^1xother1stline^99DCT</xf:value></xf:item><xf:item id="161195^2xother2ndline^99DCT"><xf:label>2xother2ndline</xf:label><xf:value>161195^2xother2ndline^99DCT</xf:value></xf:item></xf:select1><xf:input bind="_2nd_line1_dose">
  1294. <xf:label>2ND_LINE1_DOSE</xf:label>
  1295. </xf:input><xf:input bind="_2nd_line2_dose">
  1296. <xf:label>2ND_LINE2_DOSE</xf:label>
  1297. </xf:input><xf:input bind="_2nd_line3_dose">
  1298. <xf:label>2ND_LINE3_DOSE</xf:label>
  1299. </xf:input><xf:input bind="tb_presc_other">
  1300. <xf:label>TB_PRESC_OTHER</xf:label>
  1301.  
  1302. </xf:input>
  1303.  
  1304.  
  1305.  
  1306.  
  1307.  
  1308.  
  1309.  
  1310.  
  1311.  
  1312.  
  1313.  
  1314.  
  1315.  
  1316.  
  1317.  
  1318.  
  1319.  
  1320.  
  1321.  
  1322.  
  1323.  
  1324. <xf:input bind="cotrimox_dosage">
  1325. <xf:label>COTRIMOX_DOSAGE</xf:label>
  1326.  
  1327. </xf:input><xf:select1 bind="_2nd_line1">
  1328. <xf:label>2ND_LINE1</xf:label>
  1329. <xf:item concept_id="161562" id="161120^start^99DCT">
  1330. <xf:label>start</xf:label>
  1331. <xf:value>161120^start^99DCT</xf:value>
  1332. </xf:item>
  1333. <xf:item concept_id="161562" id="159835^Continue^99DCT">
  1334. <xf:label>Continue</xf:label>
  1335. <xf:value>159835^Continue^99DCT</xf:value>
  1336. </xf:item>
  1337. <xf:item concept_id="161562" id="1267^COMPLETED^99DCT">
  1338. <xf:label>COMPLETED</xf:label>
  1339. <xf:value>1267^COMPLETED^99DCT</xf:value>
  1340. </xf:item>
  1341. <xf:item concept_id="161562" id="161123^stop^99DCT">
  1342. <xf:label>stop</xf:label>
  1343. <xf:value>161123^stop^99DCT</xf:value>
  1344. </xf:item>
  1345. <xf:item concept_id="161562" id="161124^restart^99DCT">
  1346. <xf:label>restart</xf:label>
  1347. <xf:value>161124^restart^99DCT</xf:value>
  1348. </xf:item>
  1349. </xf:select1>
  1350.  
  1351. <xf:input bind="_2nd_line4_spec">
  1352. <xf:label>2ND_LINE4_SPEC</xf:label>
  1353. </xf:input>
  1354. <xf:input bind="_2nd_line4_dose">
  1355. <xf:label>2ND_LINE4_DOSE</xf:label>
  1356. </xf:input>
  1357. <xf:select1 bind="_2nd_line41">
  1358. <xf:label>2ND_LINE41</xf:label>
  1359. <xf:hint>2ND line drug 4</xf:hint>
  1360. <xf:item concept_id="161888" id="161120^start^99DCT">
  1361. <xf:label>start</xf:label>
  1362. <xf:value>161120^start^99DCT</xf:value>
  1363. </xf:item>
  1364. <xf:item concept_id="161888" id="159835^Continue^99DCT">
  1365. <xf:label>Continue</xf:label>
  1366. <xf:value>159835^Continue^99DCT</xf:value>
  1367. </xf:item>
  1368. <xf:item concept_id="161888" id="161124^restart^99DCT">
  1369. <xf:label>restart</xf:label>
  1370. <xf:value>161124^restart^99DCT</xf:value>
  1371. </xf:item>
  1372. <xf:item concept_id="161888" id="161123^stop^99DCT">
  1373. <xf:label>stop</xf:label>
  1374. <xf:value>161123^stop^99DCT</xf:value>
  1375. </xf:item>
  1376. <xf:item concept_id="161888" id="1267^COMPLETED^99DCT">
  1377. <xf:label>COMPLETED</xf:label>
  1378. <xf:value>1267^COMPLETED^99DCT</xf:value>
  1379. </xf:item>
  1380. </xf:select1><xf:input bind="_2nd_line41_presc">
  1381. <xf:label>2ND_LINE41_PRESC</xf:label>
  1382.  
  1383. </xf:input>
  1384.  
  1385. <xf:input bind="_2nd_line5_dose">
  1386. <xf:label>2ND_LINE5_DOSE</xf:label>
  1387. </xf:input>
  1388. <xf:input bind="_2nd_line5_spec">
  1389. <xf:label>2ND_LINE5_SPEC</xf:label>
  1390. </xf:input>
  1391. <xf:select1 bind="_2nd_line5">
  1392. <xf:label>2ND_LINE5</xf:label>
  1393. <xf:item concept_id="161574" id="161120^start^99DCT">
  1394. <xf:label>start</xf:label>
  1395. <xf:value>161120^start^99DCT</xf:value>
  1396. </xf:item>
  1397. <xf:item concept_id="161574" id="159835^Continue^99DCT">
  1398. <xf:label>Continue</xf:label>
  1399. <xf:value>159835^Continue^99DCT</xf:value>
  1400. </xf:item>
  1401. <xf:item concept_id="161574" id="1267^COMPLETED^99DCT">
  1402. <xf:label>COMPLETED</xf:label>
  1403. <xf:value>1267^COMPLETED^99DCT</xf:value>
  1404. </xf:item>
  1405. <xf:item concept_id="161574" id="161123^stop^99DCT">
  1406. <xf:label>stop</xf:label>
  1407. <xf:value>161123^stop^99DCT</xf:value>
  1408. </xf:item>
  1409. <xf:item concept_id="161574" id="161124^restart^99DCT">
  1410. <xf:label>restart</xf:label>
  1411. <xf:value>161124^restart^99DCT</xf:value>
  1412. </xf:item>
  1413. </xf:select1><xf:input bind="_2nd_line51_presc">
  1414. <xf:label>2ND_LINE51_PRESC</xf:label>
  1415. <xf:hint>Length of prescription of 2nd line drug 5 (months)</xf:hint>
  1416. </xf:input>
  1417.  
  1418.  
  1419.  
  1420.  
  1421.  
  1422.  
  1423.  
  1424.  
  1425.  
  1426.  
  1427.  
  1428.  
  1429.  
  1430.  
  1431.  
  1432.  
  1433.  
  1434.  
  1435.  
  1436.  
  1437.  
  1438.  
  1439.  
  1440.  
  1441.  
  1442.  
  1443.  
  1444. <xf:input bind="date_presc">
  1445. <xf:label>DATE_PRESC</xf:label>
  1446. <xf:hint>Date of prescription</xf:hint>
  1447. </xf:input>
  1448. <xf:input bind="comments_drug">
  1449. <xf:label>COMMENTS_DRUG</xf:label>
  1450. <xf:hint>Comments Drug Order Form</xf:hint>
  1451. </xf:input>
  1452. <xf:input bind="art_presc_start_date">
  1453. <xf:label>ART_PRESC_START_DATE</xf:label>
  1454. <xf:hint>Date when prescription start (e.g. current visit, drug refill)</xf:hint>
  1455. </xf:input>
  1456. <xf:input bind="art_presc_end_date">
  1457. <xf:label>ART_PRESC_END_DATE</xf:label>
  1458. <xf:hint>Date until prescription expires (e.g. next visit, drug refill)</xf:hint>
  1459. </xf:input>
  1460. <xf:input bind="art_presc_lngth_calculated">
  1461. <xf:label>ART_PRESC_LNGTH_CALCULATED</xf:label>
  1462. <xf:hint>Length of ART prescription</xf:hint>
  1463. </xf:input>
  1464. <xf:input bind="cot_presc_start_date">
  1465. <xf:label>COT_PRESC_START_DATE</xf:label>
  1466. <xf:hint>Date when Cotrimoxazole prescription start (e.g. current visit)</xf:hint>
  1467. </xf:input>
  1468. <xf:input bind="cot_presc_end_date">
  1469. <xf:label>COT_PRESC_END_DATE</xf:label>
  1470. <xf:hint>Date until Cotrimoxazole prescription expires (e.g. next visit, drug refill)</xf:hint>
  1471. </xf:input>
  1472. <xf:input bind="cot_presc_lngth_calculated">
  1473. <xf:label>COT_PRESC_LNGTH_CALCULATED</xf:label>
  1474. <xf:hint>Length of Cotrimoxazole prescription</xf:hint>
  1475. </xf:input>
  1476. <xf:input bind="ipt_presc_start_date">
  1477. <xf:label>IPT_PRESC_START_DATE</xf:label>
  1478. <xf:hint>Date when IPT prescription start (e.g. next visit)</xf:hint>
  1479. </xf:input>
  1480. <xf:input bind="ipt_presc_end_date">
  1481. <xf:label>IPT_PRESC_END_DATE</xf:label>
  1482. <xf:hint>Date until IPT prescription expires (e.g. next visit, drug refill)</xf:hint>
  1483. </xf:input>
  1484. <xf:input bind="ipt_presc_lngth_calculated">
  1485. <xf:label>IPT_PRESC_LNGTH_CALCULATED</xf:label>
  1486. <xf:hint>Length of IPT prescription</xf:hint>
  1487. </xf:input>
  1488. <xf:input bind="tb_presc_start_date">
  1489. <xf:label>TB_PRESC_START_DATE</xf:label>
  1490. <xf:hint>Date when TB prescription start (e.g. next visit)</xf:hint>
  1491. </xf:input>
  1492. <xf:input bind="tb_presc_end_date">
  1493. <xf:label>TB_PRESC_END_DATE</xf:label>
  1494. <xf:hint>Date until TB prescription expires (e.g. next visit, drug refill)</xf:hint>
  1495. </xf:input>
  1496. <xf:input bind="tb_presc_lngth_calculated">
  1497. <xf:label>TB_PRESC_LNGTH_CALCULATED</xf:label>
  1498. <xf:hint>Length of Anti-TB prescription</xf:hint>
  1499. </xf:input>
  1500. <xf:input bind="tb_startdate">
  1501. <xf:label>TB_STARTDATE</xf:label>
  1502. <xf:hint>Start date of ant-TB medication-A question on KIULARCO HIV_MRS drug order form</xf:hint>
  1503. </xf:input>
  1504. <xf:group id="patient/patient_relative">
  1505. <xf:label>RELATIONSHIPS</xf:label>
  1506. <xf:hint>Relationships that this patient has.</xf:hint>
  1507. <xf:repeat bind="patient_relative">
  1508.  
  1509. <xf:input bind="patient_relative.person">
  1510. <xf:label>RELATIVE</xf:label>
  1511. </xf:input>
  1512.  
  1513. <xf:select1 bind="patient_relative.relationship">
  1514. <xf:item id="1A">
  1515. <xf:label>is Doctor [1]</xf:label>
  1516. <xf:value>1A</xf:value>
  1517. </xf:item>
  1518. <xf:item id="1B">
  1519. <xf:label>is Patient [1]</xf:label>
  1520. <xf:value>1B</xf:value>
  1521. </xf:item>
  1522. <xf:item id="2A">
  1523. <xf:label>is Sibling [2]</xf:label>
  1524. <xf:value>2A</xf:value>
  1525. </xf:item>
  1526. <xf:item id="3A">
  1527. <xf:label>is Parent [3]</xf:label>
  1528. <xf:value>3A</xf:value>
  1529. </xf:item>
  1530. <xf:item id="3B">
  1531. <xf:label>is Child [3]</xf:label>
  1532. <xf:value>3B</xf:value>
  1533. </xf:item>
  1534. <xf:item id="4A">
  1535. <xf:label>is Aunt/Uncle [4]</xf:label>
  1536. <xf:value>4A</xf:value>
  1537. </xf:item>
  1538. <xf:item id="4B">
  1539. <xf:label>is Niece/Nephew [4]</xf:label>
  1540. <xf:value>4B</xf:value>
  1541. </xf:item>
  1542. <xf:item id="5A">
  1543. <xf:label>is Supervisor [5]</xf:label>
  1544. <xf:value>5A</xf:value>
  1545. </xf:item>
  1546. <xf:item id="5B">
  1547. <xf:label>is Supervisee [5]</xf:label>
  1548. <xf:value>5B</xf:value>
  1549. </xf:item>
  1550. <xf:label>RELATIONSHIP</xf:label>
  1551. </xf:select1>
  1552. </xf:repeat>
  1553. </xf:group>
  1554. <xf:input bind="obs_antitb_dose_value"><xf:label>ANTITB_DOSE</xf:label><xf:hint>Dose of Anti-TB medication</xf:hint></xf:input></xf:group>
  1555. </xf:xforms></Xform><Layout><Form id="15"><Page Text="Page1" fontWeight="normal" fontSize="12px" fontFamily="Verdana, 'Lucida Grande', 'Trebuchet MS', Arial, Sans-Serif" Binding="Page1" Width="950px" Height="4348px" backgroundColor=""><Item WidgetType="Label" Text="Drug order form" HelpText="a form for drug order" Binding="LEFT48pxTOP63px" Left="48px" Top="29px" Width="203px" Height="29px" TabIndex="0" fontWeight="bold" fontSize="20px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid" borderWidth="1px"/><Item WidgetType="TextBox" HelpText="NACP number" Binding="patient/patient.medical_record_number" Left="710px" Top="40px" Width="240px" Height="25px" TabIndex="125" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="NACP number" HelpText="NACP number" Binding="patient/patient.medical_record_number" Left="553px" Top="42px" Height="1px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="GroupBox" Binding="LEFT48pxTOP113px" Left="47px" Top="113px" Width="900px" Height="150px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid"><Item WidgetType="Label" Text="PATIENT INFORMATION" HelpText="Header Label" Binding="LEFT48pxTOP113px" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="rgb(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="Label" Text="Last name" HelpText="Last name" Binding="patient/patient.family_name" Left="10px" Top="30px" Height="1px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="Last name" Binding="patient/patient.family_name" Left="10px" Top="50px" Width="249px" Height="25px" TabIndex="0" fontSize="12px" 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="10px" Top="90px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="Sex" Binding="patient/patient.sex" Left="10px" Top="110px" Width="248px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="First name" HelpText="First Name" Binding="patient/patient.given_name" Left="280px" Top="30px" Height="0px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="First Name" Binding="patient/patient.given_name" Left="280px" Top="50px" Width="201px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Date of birth" HelpText="Date of birth" Binding="patient/patient.birthdate" Left="280px" Top="90px" Height="20px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="Date of birth" Binding="patient/patient.birthdate" Left="280px" Top="110px" Width="198px" Height="25px" TabIndex="0" fontSize="12px" 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="498px" Top="30px" TabIndex="0" fontWeight="bold" fontSize="12px" 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="498px" Top="50px" Width="340px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/></Item><Item WidgetType="DateTimeWidget" Binding="encounter/encounter.encounter_datetime" Left="710px" Top="80px" Width="240px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Date of encounter" HelpText="ENCOUNTER DATETIME" Binding="encounter/encounter.encounter_datetime" Left="555px" Top="79px" TabIndex="0" fontWeight="bold" fontSize="12px" 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="147px" Top="3431px" Width="200px" Height="25px" TabIndex="15" fontSize="12px" 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="52px" Top="3436px" TabIndex="0" fontSize="12px" 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="49px" Top="3391px" TabIndex="0" fontSize="12px" 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="149px" Top="3384px" Width="200px" Height="25px" TabIndex="14" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Button" Text="Cancel" HelpText="cancel" Binding="cancel" Left="792px" Top="3414px" Width="140px" Height="30px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Button" Text="Order Test" HelpText="ordert" Binding="submit" Left="790px" Top="3373px" Width="140px" Height="30px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" Id="ordert"/><Item WidgetType="Button" Text="Submit and Finish" HelpText="submit" Binding="submit" Left="790px" Top="3329px" Width="140px" Height="30px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" Id="submit"/><Item WidgetType="GroupBox" Binding="LEFT61pxTOP305px-null" Left="46px" Top="276px" Width="900px" Height="698px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid" borderColor="rgb(26, 172, 155)"><Item WidgetType="Label" Text="DOSE, FORMULATION AND FREQUENCY OF ART" HelpText="Header Label" Binding="LEFT61pxTOP305px-null" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="rgb(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="TextArea" HelpText="ART_DOSE" Binding="obs/art_dose/value" Left="207px" Top="478px" Width="659px" Height="64px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Thrice daily" HelpText="Thrice daily" Binding="160866^Thrice daily^99DCT" ParentBinding="obs/art_dose_freq/value" Left="385px" Top="570px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="ART_PRESC_OTH" Binding="obs/art_presc_oth/value" Left="225px" Top="650px" Width="550px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Dose of ART" HelpText="ART_DOSE" Binding="obs/art_dose/value" Left="10px" Top="476px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Other ART prescription length" HelpText="ART_PRESC_OTH" Binding="obs/art_presc_oth/value" Left="6px" Top="650px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Once daily" HelpText="Once daily" Binding="160862^Once daily^99DCT" ParentBinding="obs/art_dose_freq/value" Left="170px" Top="570px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Twice daily" HelpText="Twice daily" Binding="160858^Twice daily^99DCT" ParentBinding="obs/art_dose_freq/value" Left="273px" Top="570px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Other ART regimen, specify" HelpText="Other ARV regimen, specify-A question on KIULARCO HIV_MRS drug_order form" Binding="obs/arv_other/value" Left="8px" Top="435px" Height="0px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="Other ARV regimen, specify-A question on KIULARCO HIV_MRS drug_order form" Binding="obs/arv_other/value" Left="207px" Top="432px" Width="659px" Height="24px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Dosing frequency of ART" HelpText="ART_DOSE_FREQ" Binding="obs/art_dose_freq/value" Left="9px" Top="570px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Length of ART prescription" HelpText="ART_PRESC_LNGTH" Binding="obs/art_presc_lngth/value" Left="11px" Top="610px" Width="200px" Height="30px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Date of Prescription" HelpText="Date of prescription" Binding="obs/date_presc/value" Left="10px" Top="36px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="Date of prescription" Binding="obs/date_presc/value" Left="189px" Top="33px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Other" HelpText="OTHER NON-CODED" Binding="5622^OTHER NON-CODED^99DCT" ParentBinding="obs/art_presc_lngth/value" Left="629px" Top="610px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="14 days" HelpText="14 days" Binding="161538^14 days^99DCT" ParentBinding="obs/art_presc_lngth/value" Left="228px" Top="610px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1 month" HelpText="1 month" Binding="161539^1 month^99DCT" ParentBinding="obs/art_presc_lngth/value" Left="319px" Top="610px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="3 months" HelpText="3 months" Binding="161540^3 months^99DCT" ParentBinding="obs/art_presc_lngth/value" Left="412px" Top="610px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="6 month" HelpText="6 month" Binding="161541^6 month^99DCT" ParentBinding="obs/art_presc_lngth/value" Left="517px" Top="610px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="ART at discharge" HelpText="ART at discharge" Binding="obs/art_disch/value" Left="10px" Top="80px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="None" HelpText="NONE" Binding="1107^NONE^99DCT" ParentBinding="obs/art_disch/value" Left="137px" Top="74px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="PEP" HelpText="PEP" Binding="161504^PEP^99DCT" ParentBinding="obs/art_disch/value" Left="136px" Top="116px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="PMTCT(AZT)" HelpText="PMTCT" Binding="161503^PMTCT^99DCT" ParentBinding="obs/art_disch/value" Left="137px" Top="93px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1g=TDF+3TC+EFV" HelpText="1g=TDF+3TC+EFV" Binding="161170^1g=TDF+3TC+EFV^99DCT" ParentBinding="obs/art_disch/value" Left="136px" Top="136px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1b=AZT+3TC+NVP" HelpText="1b=AZT+3TC+NVP" Binding="161155^1b=AZT+3TC+NVP^99DCT" ParentBinding="obs/art_disch/value" Left="136px" Top="156px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="ABC, 3TC, LPV/r 1n-P" HelpText="ABC, 3TC, LPV/r 1n-P" Binding="161931^ABC, 3TC, LPV/r 1n-P^99DCT" ParentBinding="obs/art_disch/value" Left="135px" Top="178px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1c=AZT+3TC+EFV" HelpText="1c=AZT+3TC+EFV" Binding="161156^1c=AZT+3TC+EFV^99DCT" ParentBinding="obs/art_disch/value" Left="134px" Top="201px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1e=TDF+FTC+EFV" HelpText="1e=TDF+FTC+EFV" Binding="161164^1e=TDF+FTC+EFV^99DCT" ParentBinding="obs/art_disch/value" Left="135px" Top="224px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1f=TDF+FTC+NVP" HelpText="1f=TDF+FTC+NVP" Binding="161168^1f=TDF+FTC+NVP^99DCT" ParentBinding="obs/art_disch/value" Left="137px" Top="242px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1k-A ABC, 3TC, EFV 1k-P" HelpText="1k-A ABC, 3TC, EFV 1k-P" Binding="161920^1k-A ABC, 3TC, EFV 1k-P^99DCT" ParentBinding="obs/art_disch/value" Left="138px" Top="261px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1m-A ABC, 3TC, NVP 1m-P" HelpText="1m-A ABC, 3TC, NVP 1m-P" Binding="161921^1m-A ABC, 3TC, NVP 1m-P^99DCT" ParentBinding="obs/art_disch/value" Left="136px" Top="281px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1x=Other1stline" HelpText="1x=Other1stline" Binding="161176^1x=Other1stline^99DCT" ParentBinding="obs/art_disch/value" Left="137px" Top="301px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2f=TDF+FTC+LPV/r" HelpText="2f=TDF+FTC+LPV/r" Binding="161187^2f=TDF+FTC+LPV/r^99DCT" ParentBinding="obs/art_disch/value" Left="136px" Top="319px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2h-A TDF, FTC, ATV/r" HelpText="2h-A TDF, FTC, ATV/r" Binding="161922^2h-A TDF, FTC, ATV/r^99DCT" ParentBinding="obs/art_disch/value" Left="137px" Top="339px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2s-A AZT, 3TC, ATV/r" HelpText="2s-A AZT, 3TC, ATV/r" Binding="161923^2s-A AZT, 3TC, ATV/r^99DCT" ParentBinding="obs/art_disch/value" Left="136px" Top="357px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2g=ABC+3TC+LPV/r" HelpText="2g=ABC+3TC+LPV/r" Binding="161190^2g=ABC+3TC+LPV/r^99DCT" ParentBinding="obs/art_disch/value" Left="138px" Top="375px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2e=TDF+3TC+LPV/r" HelpText="2e=TDF+3TC+LPV/r" Binding="161185^2e=TDF+3TC+LPV/r^99DCT" ParentBinding="obs/art_disch/value" Left="138px" Top="394px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+ATV/r+ETV" HelpText="DTG+ATV/r+ETV" Binding="162061^DTG+ATV/r+ETV^99DCT" ParentBinding="obs/art_disch/value" Left="333px" Top="246px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+ETV+3TC" HelpText="DTG+ETV+3TC" Binding="162062^DTG+ETV+3TC^99DCT" ParentBinding="obs/art_disch/value" Left="333px" Top="269px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+ETV+FTC" HelpText="DTG+ETV+FTC" Binding="162063^DTG+ETV+FTC^99DCT" ParentBinding="obs/art_disch/value" Left="333px" Top="289px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+DRV/r+ETV" HelpText="DTG+DRV/r+ETV" Binding="162064^DTG+DRV/r+ETV^99DCT" ParentBinding="obs/art_disch/value" Left="333px" Top="310px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="RAL+ATV/r+ETV" HelpText="RAL+ATV/r+ETV" Binding="162066^RAL+ATV/r+ETV^99DCT" ParentBinding="obs/art_disch/value" Left="334px" Top="352px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="RAL+DRV/r+ETV" HelpText="RAL+DRV/r+ETV" Binding="162065^RAL+DRV/r+ETV^99DCT" ParentBinding="obs/art_disch/value" Left="332px" Top="329px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DRV/r+ABC+3TC" HelpText="DRV/r+ABC+3TC" Binding="162067^DRV/r+ABC+3TC^99DCT" ParentBinding="obs/art_disch/value" Left="333px" Top="375px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DRV/r+ABC/3TC" HelpText="DRV/r+ABC/3TC" Binding="162068^DRV/r+ABC/3TC^99DCT" ParentBinding="obs/art_disch/value" Left="333px" Top="398px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2k-A ABC, 3TC, ATV/r" HelpText="2k-A ABC, 3TC, ATV/r" Binding="161924^2k-A ABC, 3TC, ATV/r^99DCT" ParentBinding="obs/art_disch/value" Left="332px" Top="75px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2m-A TDF, 3TC, ATV/r" HelpText="2m-A TDF, 3TC, ATV/r" Binding="161925^2m-A TDF, 3TC, ATV/r^99DCT" ParentBinding="obs/art_disch/value" Left="333px" Top="96px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2n-A AZT, 3TC, LPV/r 2n-P" HelpText="2n-A AZT, 3TC, LPV/r 2n-P" Binding="161926^2n-A AZT, 3TC, LPV/r 2n-P^99DCT" ParentBinding="obs/art_disch/value" Left="333px" Top="115px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="5a AZT" HelpText="5a AZT" Binding="161928^5a AZT^99DCT" ParentBinding="obs/art_disch/value" Left="332px" Top="171px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2x=Other2ndline" HelpText="2x=Other2ndline" Binding="161195^2x=Other2ndline^99DCT" ParentBinding="obs/art_disch/value" Left="332px" Top="153px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="AZT, 3TC, EFV 2t-P" HelpText="AZT, 3TC, EFV 2t-P" Binding="161927^AZT, 3TC, EFV 2t-P^99DCT" ParentBinding="obs/art_disch/value" Left="332px" Top="133px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="5c AZT, 3TC" HelpText="5c AZT, 3TC" Binding="161930^5c AZT, 3TC^99DCT" ParentBinding="obs/art_disch/value" Left="332px" Top="211px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="5b AZT, 3TC, NVP" HelpText="5b AZT, 3TC, NVP" Binding="161929^5b AZT, 3TC, NVP^99DCT" ParentBinding="obs/art_disch/value" Left="332px" Top="190px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DRV+RTV+ABC+3TC" HelpText="DRV+RTV+ABC+3TC" Binding="162070^DRV+RTV+ABC+3TC^99DCT" ParentBinding="obs/art_disch/value" Left="551px" Top="95px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DRV+RTV+AZT+3TC" HelpText="DRV+RTV+AZT+3TC" Binding="162071^DRV+RTV+AZT+3TC^99DCT" ParentBinding="obs/art_disch/value" Left="550px" Top="113px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+DRV/r+1-2NRTI" HelpText="DTG+DRV/r+1-2NRTI" Binding="162072^DTG+DRV/r+1-2NRTI^99DCT" ParentBinding="obs/art_disch/value" Left="548px" Top="136px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+DRV/r" HelpText="DTG+DRV/r" Binding="162073^DTG+DRV/r^99DCT" ParentBinding="obs/art_disch/value" Left="548px" Top="160px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="RAL+DRV/r+1-2NRTI" HelpText="RAL+DRV/r+1-2NRTI" Binding="162074^RAL+DRV/r+1-2NRTI^99DCT" ParentBinding="obs/art_disch/value" Left="547px" Top="184px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="RAL+DRV/r" HelpText="RAL+DRV/r" Binding="162075^RAL+DRV/r^99DCT" ParentBinding="obs/art_disch/value" Left="547px" Top="206px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+ABC+3TC" HelpText="DTG+ABC+3TC" Binding="162076^DTG+ABC+3TC^99DCT" ParentBinding="obs/art_disch/value" Left="546px" Top="231px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DTG+AZT+3TC" HelpText="DTG+AZT+3TC" Binding="162077^DTG+AZT+3TC^99DCT" ParentBinding="obs/art_disch/value" Left="548px" Top="251px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="RAL+ABC+3TC" HelpText="RAL+ABC+3TC" Binding="162078^RAL+ABC+3TC^99DCT" ParentBinding="obs/art_disch/value" Left="548px" Top="273px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="RAL+AZT+3TC" HelpText="RAL+AZT+3TC" Binding="162079^RAL+AZT+3TC^99DCT" ParentBinding="obs/art_disch/value" Left="553px" Top="298px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="DRV/r+AZT+3TC" HelpText="DRV/r+AZT+3TC" Binding="162069^DRV/r+AZT+3TC^99DCT" ParentBinding="obs/art_disch/value" Left="549px" Top="75px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/></Item><Item WidgetType="GroupBox" Binding="LEFT69pxTOP918px-null" Left="46px" Top="1404px" Width="900px" Height="1124px" TabIndex="0" fontWeight="normal" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid" borderColor="rgb(26, 172, 155)"><Item WidgetType="Label" Text="ANTI TUBERCULOSIS TREATMENT" HelpText="Header Label" Binding="LEFT69pxTOP918px-null" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="rgb(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="RadioButton" Text="stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/_2nd_line5/value" Left="374px" Top="2858px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE5_PRESC" Binding="obs/_2nd_line5_presc/value" Left="157px" Top="2975px" Width="200px" Height="25px" TabIndex="20" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="2ND_LINE4" HelpText="2ND_LINE4" Binding="obs/_2nd_line4/value" Left="81px" Top="2815px" Width="0px" Height="0px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="ListBox" HelpText="2ND_LINE4" Binding="obs/_2nd_line4/value" Left="157px" Top="2816px" Width="200px" Height="25px" TabIndex="16" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2ND line" HelpText="2ND line" Binding="161546^2ND line^99DCT" ParentBinding="obs/anti_tb_med/value" Left="681px" Top="30px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="4FDC(HREZ)" HelpText="4FDC(HREZ)" Binding="161542^4FDC(HREZ)^99DCT" ParentBinding="obs/anti_tb_med/value" Left="215px" Top="30px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="3FDC (HRZ)" HelpText="3FDC (HRZ)" Binding="161543^3FDC (HRZ)^99DCT" ParentBinding="obs/anti_tb_med/value" Left="339px" Top="30px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2FDC (HR)" HelpText="2FDC (HR)" Binding="161544^2FDC (HR)^99DCT" ParentBinding="obs/anti_tb_med/value" Left="474px" Top="30px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="4FDC+S" HelpText="4FDC+S" Binding="161545^4FDC+S^99DCT" ParentBinding="obs/anti_tb_med/value" Left="586px" Top="30px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/anti_tb_med/value" Left="166px" Top="30px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="10 months" HelpText="10 months" Binding="161884^10 months^99DCT" ParentBinding="obs/tb_presc_lngth/value" Left="583px" Top="197px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="2 months" HelpText="2 months" Binding="161881^2 months^99DCT" ParentBinding="obs/tb_presc_lngth/value" Left="248px" Top="198px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="4 months" HelpText="4 months" Binding="161882^4 months^99DCT" ParentBinding="obs/tb_presc_lngth/value" Left="360px" Top="198px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="7 months" HelpText="7 months" Binding="161883^7 months^99DCT" ParentBinding="obs/tb_presc_lngth/value" Left="472px" Top="198px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Other" HelpText="Other" Binding="5622^OTHER NON-CODED^99DCT" ParentBinding="obs/tb_presc_lngth/value" Left="716px" Top="198px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="HorizontalLine" Binding="LEFT0pxTOP267px-null" Left="0px" Top="267px" Width="905px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid none none solid" borderWidth="1px"/><Item WidgetType="TextBox" HelpText="TB_PRESC_OTHER" Binding="obs/tb_presc_other/value" Left="330px" Top="236px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE4_DOSE" Binding="obs/_2nd_line4_dose/value" Left="275px" Top="842px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="HorizontalLine" Binding="LEFT0pxTOP765px-null" Left="0px" Top="794px" Width="905px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid none none solid" borderWidth="1px"/><Item WidgetType="Label" Text="Specify 2nd line drug 3 dose (mg)" HelpText="2ND_LINE3_DOSE" Binding="obs/_2nd_line3_dose/value" Left="8px" Top="682px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="HorizontalLine" Binding="LEFT0pxTOP595px-null" Left="0px" Top="627px" Width="905px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid none none solid" borderWidth="1px"/><Item WidgetType="Label" Text="Length of prescription of 2nd line drug 2 (months)" HelpText="2ND_LINE2_PRESC" Binding="obs/_2nd_line2_presc/value" Left="11px" Top="592px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify 2nd line drug 2 " HelpText="2ND_LINE2_SPEC" Binding="obs/_2nd_line2_spec/value" Left="11px" Top="472px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE2_SPEC" Binding="obs/_2nd_line2_spec/value" Left="266px" Top="469px" Width="550px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE2_DOSE" Binding="obs/_2nd_line2_dose/value" Left="273px" Top="513px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="HorizontalLine" Binding="LEFT0pxTOP430px-null" Left="0px" Top="450px" Width="905px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid none none solid" borderWidth="1px"/><Item WidgetType="Label" Text="Length of prescription of 2nd line drug 1 (months)" HelpText="2ND_LINE1_PRESC" Binding="obs/_2nd_line1_presc/value" Left="11px" Top="418px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify 2nd line drug 1 " HelpText="2ND_LINE1_SPEC" Binding="obs/_2nd_line1_spec/value" Left="11px" Top="287px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE1_SPEC" Binding="obs/_2nd_line1_spec/value" Left="249px" Top="282px" Width="550px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE1_DOSE" Binding="obs/_2nd_line1_dose/value" Left="250px" Top="318px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify 2nd line drug 3 " HelpText="2ND_LINE3_SPEC" Binding="obs/_2nd_line3_spec/value" Left="11px" Top="644px" Height="21px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify 2nd line drug 4 dose (mg)" HelpText="2ND_LINE4_DOSE" Binding="obs/_2nd_line4_dose/value" Left="11px" Top="850px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="COMPLETED" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/_2nd_line3/value" Left="326px" Top="723px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="HorizontalLine" Binding="LEFT0pxTOP929px-null" Left="0px" Top="955px" Width="905px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid none none solid" borderWidth="1px"/><Item WidgetType="Label" Text="2nd line drug 4" HelpText="2ND line drug 4" Binding="obs/_2nd_line41/value" Left="10px" Top="895px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/_2nd_line3/value" Left="139px" Top="723px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/_2nd_line3/value" Left="210px" Top="723px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/_2nd_line3/value" Left="441px" Top="723px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Restart" HelpText="restart" Binding="161124^restart^99DCT" ParentBinding="obs/_2nd_line3/value" Left="525px" Top="723px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="2ND line drug 3" HelpText="2ND_LINE3" Binding="obs/_2nd_line3/value" Left="12px" Top="724px" Height="8px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Length of prescription of 2nd line drug 4 (months)" HelpText="2ND_LINE41_PRESC" Binding="obs/_2nd_line41_presc/value" Left="11px" Top="930px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Length of prescription of 2nd line drug 3 (months)" HelpText="2ND_LINE3_PRESC" Binding="obs/_2nd_line3_presc/value" Left="10px" Top="761px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify 2nd line drug 4" HelpText="2ND_LINE4_SPEC" Binding="obs/_2nd_line4_spec/value" Left="11px" Top="810px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify 2nd line drug 5" HelpText="2ND_LINE5_SPEC" Binding="obs/_2nd_line5_spec/value" Left="11px" Top="969px" Height="3px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE3_SPEC" Binding="obs/_2nd_line3_spec/value" Left="280px" Top="641px" Width="550px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE3_DOSE" Binding="obs/_2nd_line3_dose/value" Left="283px" Top="681px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE4_SPEC" Binding="obs/_2nd_line4_spec/value" Left="275px" Top="803px" Width="577px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE5_SPEC" Binding="obs/_2nd_line5_spec/value" Left="268px" Top="965px" Width="595px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify 2nd line drug 5 dose (mg)" HelpText="2ND_LINE5_DOSE" Binding="obs/_2nd_line5_dose/value" Left="11px" Top="1008px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE5_DOSE" Binding="obs/_2nd_line5_dose/value" Left="265px" Top="1003px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="2ND line drug 2" HelpText="2ND_LINE2" Binding="obs/_2nd_line2/value" Left="11px" Top="554px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify 2nd line drug 2 dose (mg)" HelpText="2ND_LINE2_DOSE" Binding="obs/_2nd_line2_dose/value" Left="11px" Top="517px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify 2nd line drug 1 dose (mg)" HelpText="2ND_LINE1_DOSE" Binding="obs/_2nd_line1_dose/value" Left="11px" Top="327px" Height="64px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="2nd line drug 1" HelpText="2ND_LINE1" Binding="obs/_2nd_line1/value" Left="11px" Top="377px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/_2nd_line2/value" Left="132px" Top="553px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/_2nd_line1/value" Left="132px" Top="376px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/_2nd_line2/value" Left="196px" Top="553px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/_2nd_line1/value" Left="196px" Top="375px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="COMPLETED" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/_2nd_line2/value" Left="304px" Top="553px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="Completed" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/_2nd_line1/value" Left="304px" Top="376px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/_2nd_line2/value" Left="417px" Top="553px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/_2nd_line1/value" Left="417px" Top="376px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Restart" HelpText="restart" Binding="161124^restart^99DCT" ParentBinding="obs/_2nd_line2/value" Left="493px" Top="553px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Restart" HelpText="Restart" Binding="161124^restart^99DCT" ParentBinding="obs/_2nd_line1/value" Left="493px" Top="376px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE2_PRESC" Binding="obs/_2nd_line2_presc/value" Left="364px" Top="588px" Width="53px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="2nd line drug 5" HelpText="2ND_LINE5" Binding="obs/_2nd_line5/value" Left="11px" Top="1052px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="Start" Binding="161120^start^99DCT" ParentBinding="obs/_2nd_line41/value" Left="139px" Top="894px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/_2nd_line5/value" Left="139px" Top="1048px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/_2nd_line41/value" Left="210px" Top="894px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/_2nd_line5/value" Left="210px" Top="1047px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="Completed" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/_2nd_line41/value" Left="305px" Top="894px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="COMPLETED" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/_2nd_line5/value" Left="305px" Top="1047px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="Stop" Binding="161123^stop^99DCT" ParentBinding="obs/_2nd_line41/value" Left="441px" Top="893px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/_2nd_line5/value" Left="441px" Top="1046px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Restart" HelpText="Restart" Binding="161124^restart^99DCT" ParentBinding="obs/_2nd_line41/value" Left="525px" Top="894px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Restart" HelpText="restart" Binding="161124^restart^99DCT" ParentBinding="obs/_2nd_line5/value" Left="525px" Top="1046px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE1_PRESC" Binding="obs/_2nd_line1_presc/value" Left="363px" Top="416px" Width="53px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE3_PRESC" Binding="obs/_2nd_line3_presc/value" Left="357px" Top="756px" Width="49px" Height="27px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="2ND_LINE41_PRESC" Binding="obs/_2nd_line41_presc/value" Left="357px" Top="926px" Width="60px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Length of prescription of 2nd line drug 4 (months)" HelpText="Length of prescription of 2nd line drug 5 (months)" Binding="obs/_2nd_line51_presc/value" Left="11px" Top="1091px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="Length of prescription of 2nd line drug 5 (months)" Binding="obs/_2nd_line51_presc/value" Left="377px" Top="1087px" Width="49px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Anti-TB medication" HelpText="Anti-TB medication-A question on KIULARCO HIV_MRS forms" Binding="obs/anti_tb/value" Left="12px" Top="59px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/anti_tb/value" Left="206px" Top="59px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/anti_tb/value" Left="137px" Top="59px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="COMPLETED" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/anti_tb/value" Left="294px" Top="58px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/anti_tb/value" Left="397px" Top="57px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Restart" HelpText="restart" Binding="161124^restart^99DCT" ParentBinding="obs/anti_tb/value" Left="463px" Top="58px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Restart date of anti-TB medication" HelpText="TB_RESTARTDT" Binding="obs/tb_restartdt/value" Left="447px" Top="114px" Height="31px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="TB_RESTARTDT" Binding="obs/tb_restartdt/value" Left="685px" Top="117px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="Stop date of anti-TB medication-A question on KIULARCO HIV_MRS drug_order form" Binding="obs/tb_stopdt/value" Left="233px" Top="161px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="On Anti-TB medication?" HelpText="ANTI_TB_MED" Binding="obs/anti_tb_med/value" Left="12px" Top="31px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="Dose of Anti-TB medication" Binding="obs/antitb_dose/value" Left="235px" Top="86px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Stop date of anti-TB medication" HelpText="Stop date of anti-TB medication-A question on KIULARCO HIV_MRS drug_order form" Binding="obs/tb_stopdt/value" Left="13px" Top="161px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Dose of Anti-TB medication" HelpText="Dose of Anti-TB medication" Binding="obs/antitb_dose/value" Left="12px" Top="86px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="Start date of ant-TB medication-A question on KIULARCO HIV_MRS drug order form" Binding="obs/tb_startdate/value" Left="235px" Top="119px" Width="200px" Height="25px" TabIndex="100" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Start dateof ant-TB medication" HelpText="TB_STARTDATE" Binding="obs/tb_startdate/value" Left="14px" Top="119px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Length of Anti-TB prescription" HelpText="TB_PRESC_LNGTH" Binding="obs/tb_presc_lngth/value" Left="15px" Top="200px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Other Anti-TB prescription length (months)" HelpText="Label" Binding="LEFT26pxTOP237px-null" Left="14px" Top="235px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/></Item><Item WidgetType="GroupBox" Binding="LEFT49pxTOP2243px-null" Left="45px" Top="2532px" Width="900px" Height="783px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid" borderColor="rgb(26, 172, 155)"><Item WidgetType="Label" Text="OTHER TREATMENTS" HelpText="Header Label" Binding="LEFT49pxTOP2243px-null" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="rgb(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="RadioButton" Text="Restart" HelpText="restart" Binding="161124^restart^99DCT" ParentBinding="obs/other_med1/value" Left="495px" Top="75px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="OTH1_PRESC_LNGTH" Binding="obs/oth1_presc_lngth/value" Left="322px" Top="115px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Restart" HelpText="restart" Binding="161124^restart^99DCT" ParentBinding="obs/other_med2/value" Left="483px" Top="195px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="OTH2_PRESC_LNGTH" Binding="obs/oth2_presc_lngth/value" Left="314px" Top="235px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Restart" HelpText="restart" Binding="161124^restart^99DCT" ParentBinding="obs/other_med3/value" Left="506px" Top="315px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Restart" HelpText="restart" Binding="161124^restart^99DCT" ParentBinding="obs/other_med4/value" Left="473px" Top="435px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="OTH4_PRESC_LNGTH" Binding="obs/oth4_presc_lngth/value" Left="299px" Top="475px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Restart" HelpText="restart" Binding="161124^restart^99DCT" ParentBinding="obs/other_med5/value" Left="472px" Top="555px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Length of other drug 1 prescription (days)" HelpText="OTH1_PRESC_LNGTH" Binding="obs/oth1_presc_lngth/value" Left="13px" Top="116px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Other drug 2" HelpText="OTHER_MED2" Binding="obs/other_med2/value" Left="13px" Top="196px" Width="200px" Height="0px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Length of other drug 2 prescription (days)" HelpText="OTH2_PRESC_LNGTH" Binding="obs/oth2_presc_lngth/value" Left="13px" Top="236px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Other drug 3" HelpText="OTHER_MED3" Binding="obs/other_med3/value" Left="13px" Top="316px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Length of other drug 3 prescription (days)" HelpText="OTH3_PRESC_LNGTH" Binding="obs/oth3_presc_lngth/value" Left="10px" Top="355px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="OTH3_PRESC_LNGTH" Binding="obs/oth3_presc_lngth/value" Left="311px" Top="355px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Other drug 4" HelpText="OTHER_MED4" Binding="obs/other_med4/value" Left="12px" Top="435px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Length of other drug 4 prescription (days)" HelpText="OTH4_PRESC_LNGTH" Binding="obs/oth4_presc_lngth/value" Left="13px" Top="475px" Height="0px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/other_med1/value" Left="194px" Top="75px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="COMPLETED" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/other_med1/value" Left="307px" Top="75px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/other_med1/value" Left="429px" Top="75px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/other_med2/value" Left="113px" Top="195px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/other_med2/value" Left="189px" Top="195px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="COMPLETED" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/other_med2/value" Left="301px" Top="195px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/other_med2/value" Left="408px" Top="195px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Length of other drug 5 prescription (days)" HelpText="OTH5_PRESC_LNGTH" Binding="obs/oth5_presc_lngth/value" Left="14px" Top="606px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="OTH5_PRESC_LNGTH" Binding="obs/oth5_presc_lngth/value" Left="317px" Top="609px" Width="200px" Height="29px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify other drug 1 and dose (mg) " HelpText="OTHER_MED1_SPEC" Binding="obs/other_med1_spec/value" Left="13px" Top="36px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify other drug 2 and dose (mg) " HelpText="OTHER_MED2_SPEC" Binding="obs/other_med2_spec/value" Left="13px" Top="156px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify other drug 3 and dose (mg) " HelpText="OTHER_MED3_SPEC" Binding="obs/other_med3_spec/value" Left="13px" Top="276px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify other drug 4 and dose (mg) " HelpText="OTHER_MED4_SPEC" Binding="obs/other_med4_spec/value" Left="13px" Top="395px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Specify other drug 5 and dose (mg) " HelpText="OTHER_MED5_SPEC" Binding="obs/other_med5_spec/value" Left="13px" Top="515px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="OTHER_MED1_SPEC" Binding="obs/other_med1_spec/value" Left="300px" Top="34px" Width="550px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="OTHER_MED2_SPEC" Binding="obs/other_med2_spec/value" Left="300px" Top="157px" Width="550px" Height="29px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="OTHER_MED3_SPEC" Binding="obs/other_med3_spec/value" Left="300px" Top="277px" Width="550px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="OTHER_MED4_SPEC" Binding="obs/other_med4_spec/value" Left="300px" Top="395px" Width="565px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="OTHER_MED5_SPEC" Binding="obs/other_med5_spec/value" Left="300px" Top="520px" Width="550px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/other_med5/value" Left="108px" Top="555px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/other_med5/value" Left="178px" Top="555px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="COMPLETED" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/other_med5/value" Left="282px" Top="555px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/other_med5/value" Left="398px" Top="555px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/other_med4/value" Left="112px" Top="435px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/other_med4/value" Left="179px" Top="435px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="COMPLETED" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/other_med4/value" Left="278px" Top="435px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/other_med4/value" Left="401px" Top="435px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/other_med3/value" Left="141px" Top="315px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/other_med3/value" Left="211px" Top="315px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="COMPLETED" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/other_med3/value" Left="323px" Top="315px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/other_med3/value" Left="435px" Top="314px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Other drug 5 " HelpText="OTHER_MED5" Binding="obs/other_med5/value" Left="13px" Top="555px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Other drug 1 " HelpText="OTHER_MED1" Binding="obs/other_med1/value" Left="13px" Top="76px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/other_med1/value" Left="121px" Top="76px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Comments" HelpText="Label" Binding="LEFT21pxTOP667px-null" Left="21px" Top="667px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextArea" HelpText="Comments Drug Order Form" Binding="obs/comments_drug/value" Left="122px" Top="659px" Width="768px" Height="114px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/></Item><Item WidgetType="GroupBox" Binding="LEFT88pxTOP632px-null" Left="46px" Top="992px" Width="900px" Height="397px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" borderStyle="solid" borderColor="rgb(26, 172, 155)"><Item WidgetType="Label" Text="PROPHYLAXIS" HelpText="Header Label" Binding="LEFT88pxTOP632px-null" Left="0px" Top="0px" Width="100%" Height="20px" TabIndex="0" color="white" fontWeight="bold" fontSize="16px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="rgb(26, 172, 155)" textAlign="center" HeaderLabel="true"/><Item WidgetType="RadioButton" Text="Other" HelpText="OTHER NON-CODED" Binding="5622^OTHER NON-CODED^99DCT" ParentBinding="obs/cot_presc_lngth/value" Left="667px" Top="70px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Restart" HelpText="restart" Binding="161124^restart^99DCT" ParentBinding="obs/ipt/value" Left="647px" Top="150px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Length of Cotrimoxazole prescription" HelpText="COT_PRESC_LNGTH" Binding="obs/cot_presc_lngth/value" Left="12px" Top="70px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Other Cotrimoxazole prescription length (months)" HelpText="COT_PRESC_OTHER" Binding="obs/cot_presc_other/value" Left="12px" Top="110px" Height="3px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Isoniazid preventative therapy" HelpText="Isoniazid preventive therapy-A question on KIULARCO HIV_MRS forms" Binding="obs/ipt/value" Left="12px" Top="150px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Other IPT prescription length (months)" HelpText="IPT_PRESC_OTH" Binding="obs/ipt_presc_oth/value" Left="11px" Top="231px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="14 days" HelpText="14 days" Binding="161538^14 days^99DCT" ParentBinding="obs/cot_presc_lngth/value" Left="261px" Top="70px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1 month" HelpText="1 month" Binding="161539^1 month^99DCT" ParentBinding="obs/cot_presc_lngth/value" Left="359px" Top="70px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="3 months" HelpText="3 months" Binding="161540^3 months^99DCT" ParentBinding="obs/cot_presc_lngth/value" Left="457px" Top="70px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="6 months" HelpText="6 month" Binding="161541^6 month^99DCT" ParentBinding="obs/cot_presc_lngth/value" Left="569px" Top="70px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Other " HelpText="OTHER NON-CODED" Binding="5622^OTHER NON-CODED^99DCT" ParentBinding="obs/ipt_presc_lngth/value" Left="586px" Top="190px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="6 months" HelpText="6 month" Binding="161541^6 month^99DCT" ParentBinding="obs/ipt_presc_lngth/value" Left="489px" Top="190px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="3 months" HelpText="3 months" Binding="161540^3 months^99DCT" ParentBinding="obs/ipt_presc_lngth/value" Left="376px" Top="190px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="1 month" HelpText="1 month" Binding="161539^1 month^99DCT" ParentBinding="obs/ipt_presc_lngth/value" Left="284px" Top="190px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="14 days" HelpText="14 days" Binding="161538^14 days^99DCT" ParentBinding="obs/ipt_presc_lngth/value" Left="194px" Top="190px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/ipt/value" Left="219px" Top="150px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/ipt/value" Left="276px" Top="150px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/ipt/value" Left="364px" Top="150px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="COMPLETED" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/ipt/value" Left="466px" Top="150px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/ipt/value" Left="573px" Top="150px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Binding="LEFT0pxTOP138px-null" Left="0px" Top="138px" Width="901px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" Binding="LEFT0pxTOP265px-null" Left="0px" Top="265px" Width="901px" Height="2px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif" backgroundColor="black"/><Item WidgetType="Label" Text="Length of IPT prescription" HelpText="IPT_PRESC_LNGTH" Binding="obs/ipt_presc_lngth/value" Left="12px" Top="191px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Cotrimoxazole" HelpText="COTRIMOX" Binding="obs/cotrimox/value" Left="10px" Top="32px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Restart" HelpText="restart" Binding="161124^restart^99DCT" ParentBinding="obs/cotrimox/value" Left="472px" Top="32px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Dose" HelpText="COTRIMOX_DOSAGE" Binding="obs/cotrimox_dosage/value" Left="582px" Top="34px" Width="4px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="No" HelpText="NO" Binding="1066^NO^99DCT" ParentBinding="obs/cotrimox/value" Left="109px" Top="33px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Start" HelpText="start" Binding="161120^start^99DCT" ParentBinding="obs/cotrimox/value" Left="153px" Top="33px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Continue" HelpText="Continue" Binding="159835^Continue^99DCT" ParentBinding="obs/cotrimox/value" Left="222px" Top="33px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Completed" HelpText="COMPLETED" Binding="1267^COMPLETED^99DCT" ParentBinding="obs/cotrimox/value" Left="316px" Top="34px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="RadioButton" Text="Stop" HelpText="stop" Binding="161123^stop^99DCT" ParentBinding="obs/cotrimox/value" Left="417px" Top="33px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="COT_PRESC_OTHER" Binding="obs/cot_presc_other/value" Left="366px" Top="110px" Width="513px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="COTRIMOX_DOSAGE" Binding="obs/cotrimox_dosage/value" Left="633px" Top="29px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TextBox" HelpText="IPT_PRESC_OTH" Binding="obs/ipt_presc_oth/value" Left="287px" Top="235px" Width="550px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Date when TB prescription start " HelpText="Date when TB prescription start (e.g. next visit)" Binding="obs/tb_presc_start_date/value" Left="13px" Top="278px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Date until TB prescription expires " HelpText="Date until TB prescription expires (e.g. next visit, drug refill)" Binding="obs/tb_presc_end_date/value" Left="15px" Top="319px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="Date until TB prescription expires (e.g. next visit, drug refill)" Binding="obs/tb_presc_end_date/value" Left="249px" Top="318px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="TimeWidget" HelpText="Length of Anti-TB prescription" Binding="obs/tb_presc_lngth_calculated/value" Left="248px" Top="358px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="Label" Text="Length of Anti-TB prescription" HelpText="Length of Anti-TB prescription" Binding="obs/tb_presc_lngth_calculated/value" Left="19px" Top="358px" TabIndex="0" fontWeight="bold" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/><Item WidgetType="DatePicker" HelpText="Date when TB prescription start (e.g. next visit)" Binding="obs/tb_presc_start_date/value" Left="249px" Top="282px" Width="200px" Height="25px" TabIndex="0" fontSize="12px" fontFamily="Verdana, &quot;Lucida Grande&quot;, &quot;Trebuchet MS&quot;, Arial, sans-serif"/></Item></Page></Form></Layout><Language><LanguageText lang="en"><xform id="15"><text 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value="Maja Weisser [100]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='90']/label" value="Julius Mkumbo [90]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='75']/label" value="Herry Robert Mapesi [75]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='80']/label" value="George Rocky Sikalengo [80]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='96']/label" value="ANDREW KATENDE [96]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='113']/label" value="Getrud Joseph Mollel [113]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='111']/label" value="Robert Christopher Ndege [111]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='117']/label" value="Lilian Moshi [117]"/><text 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xpath="xforms/group[@id='1']/input[@bind='_2nd_line41_presc']/label" value="2ND_LINE41_PRESC"/><text xpath="xforms/group[@id='1']/input[@bind='_2nd_line5_dose']/label" value="2ND_LINE5_DOSE"/><text xpath="xforms/group[@id='1']/input[@bind='_2nd_line5_spec']/label" value="2ND_LINE5_SPEC"/><text xpath="xforms/group[@id='1']/select1[@bind='_2nd_line5']/label" value="2ND_LINE5"/><text xpath="xforms/group[@id='1']/select1[@bind='_2nd_line5']/item[@id='161120^start^99DCT']/label" value="start"/><text xpath="xforms/group[@id='1']/select1[@bind='_2nd_line5']/item[@id='159835^Continue^99DCT']/label" value="Continue"/><text xpath="xforms/group[@id='1']/select1[@bind='_2nd_line5']/item[@id='1267^COMPLETED^99DCT']/label" value="COMPLETED"/><text xpath="xforms/group[@id='1']/select1[@bind='_2nd_line5']/item[@id='161123^stop^99DCT']/label" value="stop"/><text xpath="xforms/group[@id='1']/select1[@bind='_2nd_line5']/item[@id='161124^restart^99DCT']/label" value="restart"/><text xpath="xforms/group[@id='1']/input[@bind='_2nd_line51_presc']/label" value="2ND_LINE51_PRESC"/><text xpath="xforms/group[@id='1']/input[@bind='_2nd_line51_presc']/hint" value="Length of prescription of 2nd line drug 5 (months)"/><text xpath="xforms/group[@id='1']/input[@bind='date_presc']/label" value="DATE_PRESC"/><text xpath="xforms/group[@id='1']/input[@bind='date_presc']/hint" value="Date of prescription"/><text xpath="xforms/group[@id='1']/input[@bind='comments_drug']/label" value="COMMENTS_DRUG"/><text xpath="xforms/group[@id='1']/input[@bind='comments_drug']/hint" value="Comments Drug Order Form"/><text xpath="xforms/group[@id='1']/input[@bind='art_presc_start_date']/label" value="ART_PRESC_START_DATE"/><text xpath="xforms/group[@id='1']/input[@bind='art_presc_start_date']/hint" value="Date when prescription start (e.g. current visit, drug refill)"/><text xpath="xforms/group[@id='1']/input[@bind='art_presc_end_date']/label" value="ART_PRESC_END_DATE"/><text xpath="xforms/group[@id='1']/input[@bind='art_presc_end_date']/hint" value="Date until prescription expires (e.g. next visit, drug refill)"/><text xpath="xforms/group[@id='1']/input[@bind='art_presc_lngth_calculated']/label" value="ART_PRESC_LNGTH_CALCULATED"/><text xpath="xforms/group[@id='1']/input[@bind='art_presc_lngth_calculated']/hint" value="Length of ART prescription"/><text xpath="xforms/group[@id='1']/input[@bind='cot_presc_start_date']/label" value="COT_PRESC_START_DATE"/><text xpath="xforms/group[@id='1']/input[@bind='cot_presc_start_date']/hint" value="Date when Cotrimoxazole prescription start (e.g. current visit)"/><text xpath="xforms/group[@id='1']/input[@bind='cot_presc_end_date']/label" value="COT_PRESC_END_DATE"/><text xpath="xforms/group[@id='1']/input[@bind='cot_presc_end_date']/hint" value="Date until Cotrimoxazole prescription expires (e.g. next visit, drug refill)"/><text xpath="xforms/group[@id='1']/input[@bind='cot_presc_lngth_calculated']/label" value="COT_PRESC_LNGTH_CALCULATED"/><text xpath="xforms/group[@id='1']/input[@bind='cot_presc_lngth_calculated']/hint" value="Length of Cotrimoxazole prescription"/><text xpath="xforms/group[@id='1']/input[@bind='ipt_presc_start_date']/label" value="IPT_PRESC_START_DATE"/><text xpath="xforms/group[@id='1']/input[@bind='ipt_presc_start_date']/hint" value="Date when IPT prescription start (e.g. next visit)"/><text xpath="xforms/group[@id='1']/input[@bind='ipt_presc_end_date']/label" value="IPT_PRESC_END_DATE"/><text xpath="xforms/group[@id='1']/input[@bind='ipt_presc_end_date']/hint" value="Date until IPT prescription expires (e.g. next visit, drug refill)"/><text xpath="xforms/group[@id='1']/input[@bind='ipt_presc_lngth_calculated']/label" value="IPT_PRESC_LNGTH_CALCULATED"/><text xpath="xforms/group[@id='1']/input[@bind='ipt_presc_lngth_calculated']/hint" value="Length of IPT prescription"/><text xpath="xforms/group[@id='1']/input[@bind='tb_presc_start_date']/label" value="TB_PRESC_START_DATE"/><text xpath="xforms/group[@id='1']/input[@bind='tb_presc_start_date']/hint" value="Date when TB prescription start (e.g. next visit)"/><text xpath="xforms/group[@id='1']/input[@bind='tb_presc_end_date']/label" value="TB_PRESC_END_DATE"/><text xpath="xforms/group[@id='1']/input[@bind='tb_presc_end_date']/hint" value="Date until TB prescription expires (e.g. next visit, drug refill)"/><text xpath="xforms/group[@id='1']/input[@bind='tb_presc_lngth_calculated']/label" value="TB_PRESC_LNGTH_CALCULATED"/><text xpath="xforms/group[@id='1']/input[@bind='tb_presc_lngth_calculated']/hint" value="Length of Anti-TB prescription"/><text xpath="xforms/group[@id='1']/input[@bind='tb_startdate']/label" value="TB_STARTDATE"/><text xpath="xforms/group[@id='1']/input[@bind='tb_startdate']/hint" value="Start date of ant-TB medication-A question on KIULARCO HIV_MRS drug order form"/><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/group[@id='1']/group[@id='patient/patient_relative']/repeat/select1[@bind='patient_relative.relationship']/item[@id='5A']/label" value="is Supervisor [5]"/><text xpath="xforms/group[@id='1']/group[@id='patient/patient_relative']/repeat/select1[@bind='patient_relative.relationship']/item[@id='5B']/label" value="is Supervisee [5]"/><text xpath="xforms/group[@id='1']/input[@bind='obs_antitb_dose_value']/label" value="ANTITB_DOSE"/><text xpath="xforms/group[@id='1']/input[@bind='obs_antitb_dose_value']/hint" value="Dose of Anti-TB medication"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='encounter.encounter_datetime'][@message]" value=""/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='arv_other'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='art_dose'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='art_presc_oth'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='cot_presc_other'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='ipt_presc_oth'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='fluco_presc_oth'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line1_spec'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line1_presc'][@message]" value="Data out of range"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line2_spec'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line2_presc'][@message]" value="Data out of range"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line3_spec'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line3_presc'][@message]" value="Data out of range"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='other_med1_spec'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='oth1_presc_lngth'][@message]" value="Data out of range"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='other_med2_spec'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='oth2_presc_lngth'][@message]" value="Dat a out of range please check"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='other_med3_spec'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='oth3_presc_lngth'][@message]" value="Data out of range, please check."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='other_med4_spec'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='oth4_presc_lngth'][@message]" value="Data out of range, please check."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='other_med5_spec'][@message]" value="Check the length of the enter value, is more than the required."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='oth5_presc_lngth'][@message]" value="Data out of range, please check."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line1_dose'][@message]" value="The length of the entered value is incorrect please check."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line2_dose'][@message]" value="The length of the entered value is incorrect please check."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line3_dose'][@message]" value="The length of the entered value is incorrect please check."/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='tb_presc_other'][@message]" value=""/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='cotrimox_dosage'][@message]" value=""/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line4_spec'][@message]" value=""/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line4_dose'][@message]" value=""/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line41_presc'][@message]" value=""/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line5_dose'][@message]" value=""/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='_2nd_line51_presc'][@message]" value=""/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='comments_drug'][@message]" value=""/></xform><Form id="15"><text 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value="0px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP113px' and @WidgetType='GroupBox']/Item[@Binding='LEFT48pxTOP113px' and @WidgetType='Label'][@Width]" value="100%"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP113px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.family_name' and @WidgetType='Label'][@Text]" value="Last name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP113px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.family_name' and @WidgetType='Label'][@HelpText]" value="Last name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP113px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.family_name' and @WidgetType='Label'][@Top]" value="30px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP113px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.family_name' and @WidgetType='Label'][@Left]" value="10px"/><text 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xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP113px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@Top]" value="110px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP113px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@Left]" value="280px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP113px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.birthdate' and @WidgetType='DatePicker'][@Width]" value="198px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP113px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.middle_name' and @WidgetType='Label'][@Text]" value="Middle name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT48pxTOP113px' and @WidgetType='GroupBox']/Item[@Binding='patient/patient.middle_name' and @WidgetType='Label'][@HelpText]" value="Middle name"/><text 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@WidgetType='GroupBox']/Item[@Binding='obs/cot_presc_other/value' and @WidgetType='TextBox'][@Top]" value="110px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/cot_presc_other/value' and @WidgetType='TextBox'][@Left]" value="366px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/cot_presc_other/value' and @WidgetType='TextBox'][@Width]" value="513px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/cotrimox_dosage/value' and @WidgetType='TextBox'][@HelpText]" value="COTRIMOX_DOSAGE"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/cotrimox_dosage/value' and @WidgetType='TextBox'][@Top]" value="29px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/cotrimox_dosage/value' and @WidgetType='TextBox'][@Left]" value="633px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/cotrimox_dosage/value' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/ipt_presc_oth/value' and @WidgetType='TextBox'][@HelpText]" value="IPT_PRESC_OTH"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/ipt_presc_oth/value' and @WidgetType='TextBox'][@Top]" value="235px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/ipt_presc_oth/value' and @WidgetType='TextBox'][@Left]" value="287px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/ipt_presc_oth/value' and @WidgetType='TextBox'][@Width]" value="550px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_start_date/value' and @WidgetType='Label'][@Text]" value="Date when TB prescription start "/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_start_date/value' and @WidgetType='Label'][@HelpText]" value="Date when TB prescription start (e.g. next visit)"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_start_date/value' and @WidgetType='Label'][@Top]" value="278px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_start_date/value' and @WidgetType='Label'][@Left]" value="13px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_end_date/value' and @WidgetType='Label'][@Text]" value="Date until TB prescription expires "/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_end_date/value' and @WidgetType='Label'][@HelpText]" value="Date until TB prescription expires (e.g. next visit, drug refill)"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_end_date/value' and @WidgetType='Label'][@Top]" value="319px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_end_date/value' and @WidgetType='Label'][@Left]" value="15px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_end_date/value' and @WidgetType='DatePicker'][@HelpText]" value="Date until TB prescription expires (e.g. next visit, drug refill)"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_end_date/value' and @WidgetType='DatePicker'][@Top]" value="318px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_end_date/value' and @WidgetType='DatePicker'][@Left]" value="249px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_end_date/value' and @WidgetType='DatePicker'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_lngth_calculated/value' and @WidgetType='TimeWidget'][@HelpText]" value="Length of Anti-TB prescription"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_lngth_calculated/value' and @WidgetType='TimeWidget'][@Top]" value="358px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_lngth_calculated/value' and @WidgetType='TimeWidget'][@Left]" value="248px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_lngth_calculated/value' and @WidgetType='TimeWidget'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_lngth_calculated/value' and @WidgetType='Label'][@Text]" value="Length of Anti-TB prescription"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_lngth_calculated/value' and @WidgetType='Label'][@HelpText]" value="Length of Anti-TB prescription"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_lngth_calculated/value' and @WidgetType='Label'][@Top]" value="358px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_lngth_calculated/value' and @WidgetType='Label'][@Left]" value="19px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_start_date/value' and @WidgetType='DatePicker'][@HelpText]" value="Date when TB prescription start (e.g. next visit)"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_start_date/value' and @WidgetType='DatePicker'][@Top]" value="282px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_start_date/value' and @WidgetType='DatePicker'][@Left]" value="249px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT88pxTOP632px-null' and @WidgetType='GroupBox']/Item[@Binding='obs/tb_presc_start_date/value' and @WidgetType='DatePicker'][@Width]" value="200px"/></Form></LanguageText></Language></PurcForm>
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