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@harshadura
Created July 8, 2013 14:19
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<?xml version="1.0" encoding="UTF-8"?>
<PurcForm><Xform><xf:xforms xmlns:xf="http://www.w3.org/2002/xforms" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:jr="http://openrosa.org/javarosa">
<xf:model id="openmrs_model">
<xf:instance id="openmrs_model_instance">
<form id="1" name="Test1" version="1" uuid="2e5e8c7a-412b-442b-a301-934255986e3c" xmlns:openmrs="formentry.infopath_server_url cannot be empty/moduleServlet/formentry/forms/schema/1-1" xmlns:xd="http://schemas.microsoft.com/office/infopath/2003">
<header>
<enterer/>
<date_entered/>
<session/>
<uid/>
</header>
<patient>
<patient.patient_id openmrs_table="patient" openmrs_attribute="patient_id"/>
</patient>
<encounter>
<encounter.encounter_datetime openmrs_table="encounter" openmrs_attribute="encounter_datetime" xsi:nil="true">'today()'</encounter.encounter_datetime>
<encounter.location_id openmrs_table="encounter" openmrs_attribute="location_id">1</encounter.location_id>
<encounter.provider_id openmrs_table="encounter" openmrs_attribute="provider_id" provider_id_type="PROVIDER.ID">1</encounter.provider_id>
</encounter>
<obs openmrs_concept="3^MEDICAL RECORD OBSERVATIONS^99DCT" openmrs_datatype="ZZ">
<narratives_patient_tp openmrs_concept="11^NARRATIVES_PATIENT_TP^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</narratives_patient_tp>
<narratives_patient_email openmrs_concept="10^NARRATIVES_PATIENT_EMAIL^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</narratives_patient_email>
<narratives_patient_story openmrs_concept="9^NARRATIVES_PATIENT_STORY^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</narratives_patient_story>
<narratives_patient_city openmrs_concept="7^NARRATIVES_PATIENT_CITY^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</narratives_patient_city>
<narratives_patient_sex openmrs_concept="13^NARRATIVES_PATIENT_SEX^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</narratives_patient_sex>
<narratives_patient_age openmrs_concept="8^NARRATIVES_PATIENT_AGE^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</narratives_patient_age>
<narratives_patient_name openmrs_concept="12^NARRATIVES_PATIENT_NAME^99DCT" openmrs_datatype="ST">
<date xsi:nil="true"/>
<time xsi:nil="true"/>
<value xsi:nil="true"/>
</narratives_patient_name>
</obs>
<other/></form>
</xf:instance>
<xf:bind id="patient.patient_id" nodeset="/form/patient/patient.patient_id" type="xsd:int" required="true()" visible="false()" jr:preload="patient" jr:preloadParams="patientId"/>
<xf:bind id="encounter.encounter_datetime" nodeset="/form/encounter/encounter.encounter_datetime" type="xsd:date" constraint=". &lt;= today()" message="Encounter date cannot be after today" required="true()"/>
<xf:bind id="encounter.location_id" nodeset="/form/encounter/encounter.location_id" type="xsd:string" required="true()" visible="false()"/>
<xf:bind id="encounter.provider_id" nodeset="/form/encounter/encounter.provider_id" type="xsd:string" required="true()" visible="false()"/>
<xf:bind id="narratives_patient_tp" nodeset="/form/obs/narratives_patient_tp/value" type="xsd:string"/>
<xf:bind id="narratives_patient_email" nodeset="/form/obs/narratives_patient_email/value" type="xsd:string"/>
<xf:bind id="narratives_patient_story" nodeset="/form/obs/narratives_patient_story/value" type="xsd:string"/>
<xf:bind id="narratives_patient_city" nodeset="/form/obs/narratives_patient_city/value" type="xsd:string"/>
<xf:bind id="narratives_patient_sex" nodeset="/form/obs/narratives_patient_sex/value" type="xsd:string"/>
<xf:bind id="narratives_patient_age" nodeset="/form/obs/narratives_patient_age/value" type="xsd:string"/>
<xf:bind id="narratives_patient_name" nodeset="/form/obs/narratives_patient_name/value" type="xsd:string"/>
</xf:model>
<xf:group id="1">
<xf:label>Page1</xf:label>
<xf:input bind="patient.patient_id">
<xf:label>PATIENT ID</xf:label>
</xf:input>
<xf:input bind="encounter.encounter_datetime">
<xf:label>ENCOUNTER DATETIME</xf:label>
</xf:input>
<xf:select1 bind="encounter.location_id">
<xf:label>LOCATION ID</xf:label>
<xf:item id="1">
<xf:label>Unknown Location [1]</xf:label>
<xf:value>1</xf:value>
</xf:item>
</xf:select1>
<xf:select1 bind="encounter.provider_id">
<xf:label>PROVIDER ID</xf:label>
<xf:item id="1">
<xf:label>nurse jenn [1]</xf:label>
<xf:value>1</xf:value>
</xf:item><xf:item id="2">
<xf:label>doc sira [2]</xf:label>
<xf:value>2</xf:value>
</xf:item>
</xf:select1>
<xf:input bind="narratives_patient_tp">
<xf:label>NARRATIVES_PATIENT_TP</xf:label>
</xf:input>
<xf:input bind="narratives_patient_email">
<xf:label>NARRATIVES_PATIENT_EMAIL</xf:label>
</xf:input>
<xf:input bind="narratives_patient_story">
<xf:label>NARRATIVES_PATIENT_STORY</xf:label>
</xf:input>
<xf:input bind="narratives_patient_city">
<xf:label>NARRATIVES_PATIENT_CITY</xf:label>
</xf:input>
<xf:input bind="narratives_patient_sex">
<xf:label>NARRATIVES_PATIENT_SEX</xf:label>
</xf:input>
<xf:input bind="narratives_patient_age">
<xf:label>NARRATIVES_PATIENT_AGE</xf:label>
</xf:input>
<xf:input bind="narratives_patient_name">
<xf:label>NARRATIVES_PATIENT_NAME</xf:label>
</xf:input>
</xf:group>
</xf:xforms></Xform><Layout><Form id="1"><Page Text="Page1" fontWeight="normal" fontSize="16px" fontFamily="Verdana, 'Lucida Grande', 'Trebuchet MS', Arial, Sans-Serif" Binding="Page1" Width="400px" Height="650px" backgroundColor=""><Item WidgetType="Label" Text="Patient Information." HelpText="Label" Binding="LEFT28pxTOP16px-null" Left="28px" Top="16px" TabIndex="0" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" textDecoration="underline"/><Item WidgetType="Label" Text="Date" HelpText="ENCOUNTER DATETIME" Binding="encounter/encounter.encounter_datetime" Left="64px" Top="50px" TabIndex="0" fontWeight="normal" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="-- Demographics" HelpText="Label" Binding="LEFT29pxTOP95px-null" Left="29px" Top="95px" Height="3px" TabIndex="0" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" textDecoration="none"/><Item WidgetType="Label" Text="-- Patient Contact details" HelpText="Label" Binding="LEFT32pxTOP477px-null" Left="32px" Top="459px" Height="7px" TabIndex="0" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" textDecoration="none"/><Item WidgetType="Label" Text="Email" HelpText="Label" Binding="LEFT61pxTOP518px-null" Left="61px" Top="500px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="Telephone" HelpText="Label" Binding="LEFT60pxTOP561px-null" Left="60px" Top="543px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Button" Text="Cancel" HelpText="cancel" Binding="cancel" Left="245px" Top="597px" Width="70px" Height="38px" TabIndex="11" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="-- Patient Narrative" HelpText="Label" Binding="LEFT33pxTOP342px-null" Left="33px" Top="342px" Height="7px" TabIndex="0" fontWeight="bold" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" textDecoration="none"/><Item WidgetType="Label" Text="LOCATION ID" HelpText="LOCATION ID" Binding="encounter/encounter.location_id" Left="208px" Top="89px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="PROVIDER ID" HelpText="PROVIDER ID" Binding="encounter/encounter.provider_id" Left="208px" Top="108px" Height="2px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="ListBox" HelpText="PROVIDER ID" Binding="encounter/encounter.provider_id" Left="322px" Top="108px" Width="30px" Height="25px" TabIndex="9" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="ListBox" HelpText="LOCATION ID" Binding="encounter/encounter.location_id" Left="319px" Top="85px" Width="37px" Height="25px" TabIndex="8" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="Hometown" HelpText="NARRATIVES_PATIENT_CITY" Binding="obs/story/value" Left="66px" Top="283px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="Gender" HelpText="Gender" Binding="patient/patient.sex" Left="67px" Top="189px" Height="10px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="Age" HelpText="NARRATIVES_PATIENT_AGE" Binding="LEFT67pxTOP235px-null" Left="67px" Top="235px" TabIndex="0" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Label" Text="Name" HelpText="FAMILY_NAME" Binding="obs/family_name/value" Left="67px" Top="143px" Width="px" Height="15px" TabIndex="0" fontWeight="normal" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="NARRATIVES_PATIENT_STORY" Binding="obs/narratives_patient_story/value" Left="50px" Top="379px" Width="315px" Height="65px" TabIndex="36" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="NARRATIVES_PATIENT_EMAIL" Binding="obs/narratives_patient_email/value" Left="158px" Top="499px" Width="200px" Height="25px" TabIndex="65" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="NARRATIVES_PATIENT_TP" Binding="obs/narratives_patient_tp/value" Left="158px" Top="542px" Width="200px" Height="25px" TabIndex="44" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="Button" Text="Submit" HelpText="submit" Binding="submit" Left="61px" Top="604px" Width="70px" Height="30px" TabIndex="10" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="NARRATIVES_PATIENT_AGE" Binding="obs/narratives_patient_age/value" Left="170px" Top="233px" Width="200px" Height="26px" TabIndex="26" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="NARRATIVES_PATIENT_SEX" Binding="obs/narratives_patient_sex/value" Left="171px" Top="185px" Width="200px" Height="25px" TabIndex="28" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="TextBox" HelpText="NARRATIVES_PATIENT_CITY" Binding="obs/narratives_patient_city/value" Left="171px" Top="280px" Width="200px" Height="25px" TabIndex="77" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/><Item WidgetType="DatePicker" HelpText="ENCOUNTER DATETIME" Binding="encounter/encounter.encounter_datetime" Left="167px" Top="48px" Width="200px" Height="26px" TabIndex="7" fontWeight="normal" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif" textDecoration="none"/><Item WidgetType="TextBox" HelpText="NARRATIVES_PATIENT_NAME" Binding="obs/narratives_patient_name/value" Left="172px" Top="141px" Width="200px" Height="25px" TabIndex="29" fontSize="16px" fontFamily="Verdana,'Lucida Grande','Trebuchet MS',Arial,Sans-Serif"/></Page></Form></Layout><CSS><![CDATA[ .gwt-TabPanelBottom {
border-color: #92C1F0;
border-style: none;
border-width: 3px 2px 2px;
overflow: hidden;
padding: 6px;
}
]]></CSS><Language><LanguageText lang="en"><xform id="1"><text xpath="xforms/model[@id='openmrs_model']/instance[@id='openmrs_model_instance']/form[@name]" value="Test1"/><text xpath="xforms/group[@id='1']/label" value="Page1"/><text xpath="xforms/group[@id='1']/input[@bind='patient.patient_id']/label" value="PATIENT ID"/><text xpath="xforms/group[@id='1']/input[@bind='encounter.encounter_datetime']/label" value="ENCOUNTER DATETIME"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/label" value="LOCATION ID"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.location_id']/item[@id='1']/label" value="Unknown Location [1]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/label" value="PROVIDER ID"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='1']/label" value="nurse jenn [1]"/><text xpath="xforms/group[@id='1']/select1[@bind='encounter.provider_id']/item[@id='2']/label" value="doc sira [2]"/><text xpath="xforms/group[@id='1']/input[@bind='narratives_patient_tp']/label" value="NARRATIVES_PATIENT_TP"/><text xpath="xforms/group[@id='1']/input[@bind='narratives_patient_email']/label" value="NARRATIVES_PATIENT_EMAIL"/><text xpath="xforms/group[@id='1']/input[@bind='narratives_patient_story']/label" value="NARRATIVES_PATIENT_STORY"/><text xpath="xforms/group[@id='1']/input[@bind='narratives_patient_city']/label" value="NARRATIVES_PATIENT_CITY"/><text xpath="xforms/group[@id='1']/input[@bind='narratives_patient_sex']/label" value="NARRATIVES_PATIENT_SEX"/><text xpath="xforms/group[@id='1']/input[@bind='narratives_patient_age']/label" value="NARRATIVES_PATIENT_AGE"/><text xpath="xforms/group[@id='1']/input[@bind='narratives_patient_name']/label" value="NARRATIVES_PATIENT_NAME"/><text xpath="xforms/model[@id='openmrs_model']/bind[@id='encounter.encounter_datetime'][@message]" value="Encounter date cannot be after today"/></xform><Form id="1"><text xpath="Form/Page[@Binding='Page1'][@Text]" value="Page1"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT28pxTOP16px-null' and @WidgetType='Label'][@Text]" value="Patient Information."/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT28pxTOP16px-null' and @WidgetType='Label'][@HelpText]" value="Label"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT28pxTOP16px-null' and @WidgetType='Label'][@Top]" value="16px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT28pxTOP16px-null' and @WidgetType='Label'][@Left]" value="28px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='Label'][@Text]" value="Date"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='Label'][@HelpText]" value="ENCOUNTER DATETIME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='Label'][@Top]" value="50px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='Label'][@Left]" value="64px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT29pxTOP95px-null' and @WidgetType='Label'][@Text]" value="-- Demographics"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT29pxTOP95px-null' and @WidgetType='Label'][@HelpText]" value="Label"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT29pxTOP95px-null' and @WidgetType='Label'][@Top]" value="95px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT29pxTOP95px-null' and @WidgetType='Label'][@Left]" value="29px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT32pxTOP477px-null' and @WidgetType='Label'][@Text]" value="-- Patient Contact details"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT32pxTOP477px-null' and @WidgetType='Label'][@HelpText]" value="Label"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT32pxTOP477px-null' and @WidgetType='Label'][@Top]" value="459px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT32pxTOP477px-null' and @WidgetType='Label'][@Left]" value="32px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT61pxTOP518px-null' and @WidgetType='Label'][@Text]" value="Email"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT61pxTOP518px-null' and @WidgetType='Label'][@HelpText]" value="Label"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT61pxTOP518px-null' and @WidgetType='Label'][@Top]" value="500px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT61pxTOP518px-null' and @WidgetType='Label'][@Left]" value="61px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT60pxTOP561px-null' and @WidgetType='Label'][@Text]" value="Telephone"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT60pxTOP561px-null' and @WidgetType='Label'][@HelpText]" value="Label"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT60pxTOP561px-null' and @WidgetType='Label'][@Top]" value="543px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT60pxTOP561px-null' and @WidgetType='Label'][@Left]" value="60px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='cancel' and @WidgetType='Button'][@Text]" value="Cancel"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='cancel' and @WidgetType='Button'][@HelpText]" value="cancel"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='cancel' and @WidgetType='Button'][@Top]" value="597px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='cancel' and @WidgetType='Button'][@Left]" value="245px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='cancel' and @WidgetType='Button'][@Width]" value="70px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT33pxTOP342px-null' and @WidgetType='Label'][@Text]" value="-- Patient Narrative"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT33pxTOP342px-null' and @WidgetType='Label'][@HelpText]" value="Label"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT33pxTOP342px-null' and @WidgetType='Label'][@Top]" value="342px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT33pxTOP342px-null' and @WidgetType='Label'][@Left]" value="33px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='Label'][@Text]" value="LOCATION ID"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='Label'][@HelpText]" value="LOCATION ID"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='Label'][@Top]" value="89px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='Label'][@Left]" value="208px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='Label'][@Text]" value="PROVIDER ID"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='Label'][@HelpText]" value="PROVIDER ID"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='Label'][@Top]" value="108px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='Label'][@Left]" value="208px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='ListBox'][@HelpText]" value="PROVIDER ID"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='ListBox'][@Top]" value="108px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='ListBox'][@Left]" value="322px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.provider_id' and @WidgetType='ListBox'][@Width]" value="30px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='ListBox'][@HelpText]" value="LOCATION ID"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='ListBox'][@Top]" value="85px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='ListBox'][@Left]" value="319px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.location_id' and @WidgetType='ListBox'][@Width]" value="37px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/story/value' and @WidgetType='Label'][@Text]" value="Hometown"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/story/value' and @WidgetType='Label'][@HelpText]" value="NARRATIVES_PATIENT_CITY"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/story/value' and @WidgetType='Label'][@Top]" value="283px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/story/value' and @WidgetType='Label'][@Left]" value="66px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='Label'][@Text]" value="Gender"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='Label'][@HelpText]" value="Gender"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='Label'][@Top]" value="189px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='patient/patient.sex' and @WidgetType='Label'][@Left]" value="67px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT67pxTOP235px-null' and @WidgetType='Label'][@Text]" value="Age"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT67pxTOP235px-null' and @WidgetType='Label'][@HelpText]" value="NARRATIVES_PATIENT_AGE"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT67pxTOP235px-null' and @WidgetType='Label'][@Top]" value="235px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='LEFT67pxTOP235px-null' and @WidgetType='Label'][@Left]" value="67px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/family_name/value' and @WidgetType='Label'][@Text]" value="Name"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/family_name/value' and @WidgetType='Label'][@HelpText]" value="FAMILY_NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/family_name/value' and @WidgetType='Label'][@Top]" value="143px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/family_name/value' and @WidgetType='Label'][@Left]" value="67px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/family_name/value' and @WidgetType='Label'][@Width]" value="px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_story/value' and @WidgetType='TextBox'][@HelpText]" value="NARRATIVES_PATIENT_STORY"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_story/value' and @WidgetType='TextBox'][@Top]" value="379px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_story/value' and @WidgetType='TextBox'][@Left]" value="50px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_story/value' and @WidgetType='TextBox'][@Width]" value="315px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_email/value' and @WidgetType='TextBox'][@HelpText]" value="NARRATIVES_PATIENT_EMAIL"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_email/value' and @WidgetType='TextBox'][@Top]" value="499px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_email/value' and 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xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_sex/value' and @WidgetType='TextBox'][@HelpText]" value="NARRATIVES_PATIENT_SEX"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_sex/value' and @WidgetType='TextBox'][@Top]" value="185px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_sex/value' and @WidgetType='TextBox'][@Left]" value="171px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_sex/value' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_city/value' and @WidgetType='TextBox'][@HelpText]" value="NARRATIVES_PATIENT_CITY"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_city/value' and @WidgetType='TextBox'][@Top]" value="280px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_city/value' and @WidgetType='TextBox'][@Left]" value="171px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_city/value' and @WidgetType='TextBox'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='DatePicker'][@HelpText]" value="ENCOUNTER DATETIME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='DatePicker'][@Top]" value="48px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='DatePicker'][@Left]" value="167px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='encounter/encounter.encounter_datetime' and @WidgetType='DatePicker'][@Width]" value="200px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_name/value' and @WidgetType='TextBox'][@HelpText]" value="NARRATIVES_PATIENT_NAME"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_name/value' and @WidgetType='TextBox'][@Top]" value="141px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_name/value' and @WidgetType='TextBox'][@Left]" value="172px"/><text xpath="Form/Page[@Binding='Page1']/Item[@Binding='obs/narratives_patient_name/value' and @WidgetType='TextBox'][@Width]" value="200px"/></Form></LanguageText></Language></PurcForm>
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